TARA L JOHNSON (FNP) – Family Nurse Practitioner, NPI 1194261479
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for TARA L JOHNSON (FNP)
2701 17th St
Rock Island, IL 612015351
Phone: (309) 779-5000
Fax: (309) 779-2105
Type: Location
UnityPoint Health - Trinity, 2701, 17th Street, Rock Island, Rock Island County, Illinois, 61201, United States
ROCK ISLAND, IL 612015351
Phone: (309) 779-5000
Fax: (309) 779-2105
Type: Mailing
1236 E RUSHOLME ST STE 300
DAVENPORT, IA 528032473
Phone: (563) 324-2992
Fax: (566) 324-8562
Type: Mailing
1100, 36th Avenue, Moline, Rock Island County, Illinois, 61265, United States
MOLINE, IL 612657127
Phone: (309) 743-6700
Fax: (309) 764-2042
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Abbott Laboratories ($45).
Total Amount
$144
General + Research + Ownership
Payments
6
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-04-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170425000743 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 52 | 49 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 51 | 48 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 17 | 14 | $0 |
Insurance plans in this area (ZIP 61201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Pediatric Medicine | IA | |
| Nurse Practitioner | IL | |
| - | IL | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | WI | |
| Neurology, Psychiatry | IN | |
| Internal Medicine | MI | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL |
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