TARA D VUCHENICH (PA-C MPAS) – Physician Assistant, NPI 1255645339

TARA D VUCHENICH (PA-C MPAS) is a healthcare provider. based in Indianapolis, Indiana. specializing in Physician Assistant. They hold the professional credentials PA-C MPAS. They hold a License No. 10001190A (IN). The NPI Number for TARA D VUCHENICH (PA-C MPAS) is 1255645339

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
TARA D VUCHENICH (PA-C MPAS)
NPI
1255645339
Phone
(317) 849-8350
Address
6983 HILLSDALE CT
Enumeration Date
2 August 2010
Last Update Date
26 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3175376088
Graduation Year
2010 (16 years ago)
PAC ID
2860518008
Group Practice PAC ID
6709868870
Professional Enrollment ID
I20100925000000

Contacts

Secure Messaging
referrals@jwmn.gwaydirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

Provider Addresses for TARA D VUCHENICH (PA-C MPAS)

  • 6983 HILLSDALE CT

    INDIANAPOLIS, IN 462502054

    Phone: (317) 849-8350

    Fax: (317) 576-6311

    Type: Mailing

  • 7250 CLEARVISTA DR STE 225

    INDIANAPOLIS, IN 462565626

    Phone: (317) 537-6088

    Fax: (317) 537-6092

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 102 Open Payments records for all available years, with a total value of $1,766.

Total Amount is formed as General ($1,766) + Research ($0) + Ownership ($0) = $1,766.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($647).

Total Amount

$1,766

General + Research + Ownership

Payments

102

Total payment records

General Amount

$1,766

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2010-09-25

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
I20100925000000IPhysician AssistantINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46250)

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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: 6709868870View full group profile
NameSpecialtyState
N E U R O L O G YIN
Neurology, Pediatric MedicineIN
N E U R O L O G YIN
N E U R O L O G YIN
N E U R O L O G YIN
Neurology, Sleep MedicineIN
Physician AssistantIN
Nurse PractitionerIN
N E U R O L O G YIN
N E U R O L O G YIN

Reviews

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Frequently asked questions

Can I verify TARA D VUCHENICH (PA-C MPAS) with an NPI only?
You can start verification with NPI 1255645339 for TARA D VUCHENICH (PA-C MPAS), then check state licensing separately.
Does the file indicate TARA D VUCHENICH (PA-C MPAS) is practicing under active NPI?
Directory data currently reports TARA D VUCHENICH (PA-C MPAS) as active.
What taxonomy line describes TARA D VUCHENICH (PA-C MPAS)?
For research purposes, treat TARA D VUCHENICH (PA-C MPAS) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is TARA D VUCHENICH (PA-C MPAS) based?
TARA D VUCHENICH (PA-C MPAS) is tied to Indianapolis, Indiana in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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