TARA CLARK – Family Nurse Practitioner, NPI 1124520986
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TARA CLARK
2200, East Parrish Avenue, Owensboro, Daviess County, Kentucky, 42303, United States
BLDG D SUITE 100
OWENSBORO, KY 42303
Phone: (270) 688-1770
Fax: (270) 688-1781
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-04-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180404002512 | I | Nurse Practitioner | KY | TBD |
| I20180424003013 | I | Nurse Practitioner | IN | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 78 | 64 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 75 | 73 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 28 | 23 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 22 | 22 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 17 | 12 | $0 |
Insurance plans in this area (ZIP 42303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| N E U R O S U R G E R Y | KY | |
| N E U R O S U R G E R Y | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | IN | |
| Physician Assistant | KY | |
| N E U R O S U R G E R Y | OR | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN |
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