Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Nicole Carlesco, PA-C

Individual provider Medical Physician Assistant · NPI 1679059505

Tara Nicole Carlesco, PA-C is a Physician Assistant in Wallingford, Connecticut. Qualified in 2018, 8 years ago. Practices with Yale University, a 2,618-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
8
Licensed in
CT
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

821 N Main Street Ext Ste 210
Wallingford, CT 06492-2464
Phone: (203) 294-3610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4160 (CT)

Record details

NPI number1679059505
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2018
Last updated in NPPESJuly 13, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients31
Services billed 57 a service is one billed item, such as a visit, a test or a procedure
Average patient age68

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Yale University

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2618 clinicians in the practice; 12 are shown here.

Other providers in Wallingford