TARA LYNN LIVINGSTON (FPA APRN) – Nurse Practitioner, NPI 1417509407
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for TARA LYNN LIVINGSTON (FPA APRN)
5901 N PROSPECT RD STE 202
PEORIA, IL 616144358
Phone: (888) 428-7890
Fax: (877) 428-7891
Type: Location
3315 N Seminary St
Galesburg, IL 614011251
Phone: (309) 344-1000
Fax: (309) 344-2405
Type: Location
3315, North Seminary Street, Galesburg, Knox County, Illinois, 61401, United States
GALESBURG, IL 614011251
Phone: (309) 344-1000
Fax: (309) 344-2405
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $602.
Total Amount is formed as General ($602) + Research ($0) + Ownership ($0) = $602.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($425).
Total Amount
$602
General + Research + Ownership
Payments
32
Total payment records
General Amount
$602
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $425 |
| Corium, LLC | $153 |
| ABBVIE INC. | $23 |
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: 2019-08-22
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 |
|---|---|---|---|---|
| I20190822003498 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| Clinical Psychologist | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | NM | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL |
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