MRS. TARA ROBERTSON (FNP-C) – Family Nurse Practitioner, NPI 1104204122
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MRS. TARA ROBERTSON (FNP-C)
1531 WINSOR DR
QUINCY, IL 623051471
Phone: (217) 440-5089
Type: Mailing
1 DOT WAY
MOUNT STERLING, IL 623531664
Phone: (217) 773-6060
Fax: (217) 436-6762
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 117 Open Payments records for all available years, with a total value of $2,452.
Total Amount is formed as General ($2,452) + Research ($0) + Ownership ($0) = $2,452.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($697).
Total Amount
$2,452
General + Research + Ownership
Payments
117
Total payment records
General Amount
$2,452
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $697 |
| Novartis Pharmaceuticals Corporation | $383 |
| Incyte Corporation | $368 |
| ABBVIE INC. | $207 |
| Sun Pharmaceutical Industries Inc. | $171 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160816002773 | I | Nurse Practitioner | IL | TBD |
| I20200513002515 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 106 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 54 | 45 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 36 | 29 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 24 | 17 | $0 |
| 11301 | Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm | 13 | 12 | $0 |
Insurance plans in this area (ZIP 62305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| D E R M A T O L O G Y | MO |
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