MRS. TARA A CAMPO (NP-C) – Family Nurse Practitioner, NPI 1144737123

MRS. TARA A CAMPO (NP-C) is a healthcare provider. based in Wilmington, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 209.017017 (IL). The NPI Number for MRS. TARA A CAMPO (NP-C) is 1144737123

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TARA A CAMPO (NP-C)
NPI
1144737123
Phone
(815) 476-5210
Address
105 S First St
Enumeration Date
29 December 2017
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154765210
Graduation Year
2017 (9 years ago)
PAC ID
7113286881
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20180125003187
Address ID
IL604818973WI105XXSTXX400

Contacts

Secure Messaging
thalliday5521@Direct.riversidehealthcare.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. TARA A CAMPO (NP-C)

  • 105 S First St

    Wilmington, IL 604818973

    Phone: (815) 476-5210

    Fax: (815) 476-4193

    Type: Location

  • Riverside Drive, Bourbonnais, Kankakee County, Illinois, 60914, United States

    BOURBONNAIS, IL 609145004

    Phone: (815) 935-2784

    Fax: (815) 935-5687

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $1,344.

Total Amount is formed as General ($1,344) + Research ($0) + Ownership ($0) = $1,344.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($242).

Total Amount

$1,344

General + Research + Ownership

Payments

78

Total payment records

General Amount

$1,344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180125003187INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes206129$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7373$0
99213Established patient office or other outpatient visit, 20-29 minutes3126$0
G0008Administration of influenza virus vaccine1212$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 60481)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. TARA A CAMPO (NP-C)?
MRS. TARA A CAMPO (NP-C) — NPI 1144737123 — is the standard way to identify this listing.
Can I rely on MRS. TARA A CAMPO (NP-C) being an active provider?
As of the registry snapshot, MRS. TARA A CAMPO (NP-C) is marked active.
What is MRS. TARA A CAMPO (NP-C)'s specialty?
The listing groups MRS. TARA A CAMPO (NP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. TARA A CAMPO (NP-C)?
MRS. TARA A CAMPO (NP-C)'s geographic hint is Wilmington, Illinois in our summary view.
Why does MRS. TARA A CAMPO (NP-C) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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