TARA J GENGLER (APN) – Family Nurse Practitioner, NPI 1396078051

TARA J GENGLER (APN) is a healthcare provider. based in Moline, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209007770 (IL). The NPI Number for TARA J GENGLER (APN) is 1396078051

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
TARA J GENGLER (APN)
NPI
1396078051
Phone
(309) 743-6700
Address
1100 36TH AVE
Enumeration Date
14 September 2009
Last Update Date
12 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5633242992
Graduation Year
2009 (17 years ago)
PAC ID
6406998947
Group Practice PAC ID
2264334721
Professional Enrollment ID
I20210921000990
Address ID
IA528032473DA1236XSTXX410

Contacts

Secure Messaging
tara.gengler.p1@direct.cvmedpc.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for TARA J GENGLER (APN)

  • 1100 36TH AVE

    MOLINE, IL 612657127

    Phone: (309) 743-6700

    Fax: (309) 764-2042

    Type: Location

  • 1236 E RUSHOLME ST STE 300

    DAVENPORT, IA 528032473

    Phone: (563) 324-2992

    Fax: (563) 324-8562

    Type: Mailing

  • Genesis Health Group, Bettendorf OB/GYN, 865, Lincoln Road, Bettendorf, Scott County, Iowa, 52722, United States

    SUITE L10

    BETTENDORF, IA 527224190

    Phone: (563) 355-9191

    Fax: (563) 355-3419

    Type: Mailing

  • Genesis Health Group, Aledo, 1007, Northwest 3rd Street, Aledo, Mercer County, Illinois, 61231, United States

    ALEDO, IL 612311317

    Phone: (309) 582-3789

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $574.

Total Amount is formed as General ($574) + Research ($0) + Ownership ($0) = $574.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($248).

Total Amount

$574

General + Research + Ownership

Payments

12

Total payment records

General Amount

$574

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

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: 2021-09-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100122000108INurse PractitionerILTBD
I20210921000990INurse PractitionerIATBD

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 minutes494350$0
99213Established patient office or other outpatient visit, 20-29 minutes5654$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5641$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 61265)

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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: 2264334721View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)IA
Nurse PractitionerIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Pediatric MedicineIA
Nurse PractitionerIL
Internal MedicineIL
Nurse PractitionerIL
Interventional Cardiology, Cardiovascular Disease (Cardiology)IA
Nurse PractitionerIA
Cardiac Electrophysiology, Interventional Cardiology, Cardiovascular Disease (Cardiology)IA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What NPI should I save for TARA J GENGLER (APN)?
Save NPI 1396078051 if you need a stable reference for TARA J GENGLER (APN).
Is TARA J GENGLER (APN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is TARA J GENGLER (APN)?
The page reflects Family Nurse Practitioner for TARA J GENGLER (APN). Clinical services aligned with this taxonomy classification.
What location shows for TARA J GENGLER (APN)?
We surface Moline, Illinois for TARA J GENGLER (APN) based on available NPPES addresses.
How can I contact TARA J GENGLER (APN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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