MR. ANTHONY DAVID TARR (FNP-C) – Family Nurse Practitioner, NPI 1821530304

MR. ANTHONY DAVID TARR (FNP-C) is a healthcare provider. based in Belleville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 041405030 (IL). The NPI Number for MR. ANTHONY DAVID TARR (FNP-C) is 1821530304

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANTHONY DAVID TARR (FNP-C)
NPI
1821530304
Phone
(618) 222-1020
Address
4600 MEMORIAL DR STE 120
Enumeration Date
15 November 2016
Last Update Date
17 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182576220
Graduation Year
2017 (9 years ago)
PAC ID
9133494479
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20171012000748

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:9State licenses:3Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for MR. ANTHONY DAVID TARR (FNP-C)

  • Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    BELLEVILLE, IL 622265359

    Phone: (618) 222-1020

    Type: Location

  • Memorial Hospital, 4500, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    BELLEVILLE, IL 622265360

    Phone: (618) 257-4644

    Type: Mailing

  • 4600 MEMORIAL DR STE 120

    BELLEVILLE, IL 622265359

    Phone: (618) 222-1020

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $836.

Total Amount is formed as General ($836) + Research ($0) + Ownership ($0) = $836.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: ShockWave Medical, Inc ($193).

Total Amount

$836

General + Research + Ownership

Payments

35

Total payment records

General Amount

$836

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

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: 2023-08-10

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
I20230810002041INurse PractitionerMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes185103$0
97597Removal of tissue from wound, 20.0 sq cm or less7523$0
99214Established patient office or other outpatient visit, 30-39 minutes6155$0
99212Established patient office or other outpatient visit, 10-19 minutes3325$0
11042Removal of skin and tissue, 20.0 sq cm or less3017$0
View full utilization report →

Insurance plans in this area (ZIP 62226)

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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: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH

Reviews

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Frequently asked questions

Is MR. ANTHONY DAVID TARR (FNP-C) listed with a National Provider Identifier?
Yes — MR. ANTHONY DAVID TARR (FNP-C) has NPI 1821530304 on file in the registry.
Would MR. ANTHONY DAVID TARR (FNP-C) appear as active to a payer?
You can treat MR. ANTHONY DAVID TARR (FNP-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MR. ANTHONY DAVID TARR (FNP-C)?
MR. ANTHONY DAVID TARR (FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. ANTHONY DAVID TARR (FNP-C)?
Directory geography for MR. ANTHONY DAVID TARR (FNP-C) centers on Belleville, Illinois.
Does MR. ANTHONY DAVID TARR (FNP-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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