TARA PERRY – Family Nurse Practitioner, NPI 1184248908

TARA PERRY is a healthcare provider. based in Marysville, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 71015085A (IN). The NPI Number for TARA PERRY is 1184248908

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
TARA PERRY
NPI
1184248908
Phone
(810) 364-4000
Address
3350 GRATIOT BLVD
Enumeration Date
8 June 2020
Last Update Date
13 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7089220911
Graduation Year
2019 (7 years ago)
PAC ID
2860815321
Group Practice PAC ID
9830437946
Professional Enrollment ID
I20240418002954
Address ID
IN472033066CO3019XRDXX400

Contacts

REST API
Medical
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

8,105 NURSE PRACTITIONER in MI

Provider Addresses for TARA PERRY

  • 3350 GRATIOT BLVD

    MARYSVILLE, MI 480402121

    Phone: (810) 364-4000

    Fax: (810) 364-5995

    Type: Mailing

  • 3350 GRATIOT BLVD STE A

    MARYSVILLE, MI 480402121

    Phone: (810) 364-4000

    Type: Location

  • 5677 VINE ST

    SAINT CLAIR, MI 480793907

    Phone:

    Type: Mailing

  • 17664 LAKOTA CT

    HUNTERTOWN, IN 467480178

    Phone: (260) 909-5163

    Fax: (260) 909-5164

    Type: Mailing

  • 1113 W 7TH ST

    AUBURN, IN 467062016

    Phone: (260) 909-5163

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $1,238.

Total Amount is formed as General ($1,238) + Research ($0) + Ownership ($0) = $1,238.

Last reported payment date: 2023-12-07 • Largest payer in this snapshot: ABBVIE INC. ($377).

Total Amount

$1,238

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,238

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-07

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: 2024-04-18

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
I20200701000712INurse PractitionerMITBD
I20240418002954INurse PractitionerINTBD

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 minutes10157$0
View full utilization report →

Insurance plans in this area (ZIP 48040)

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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: 9830437946View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIL
Nurse PractitionerIN
Physician AssistantIN
Physician AssistantIN
Physician AssistantIL
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Internal MedicineIL

Reviews

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Frequently asked questions

How do payers reference TARA PERRY?
For TARA PERRY, use NPI 1184248908 as the unique 10-digit identifier.
Is there an active status for TARA PERRY?
For scheduling context, TARA PERRY is shown as active in the registry.
What clinical focus is listed for TARA PERRY?
At a glance, TARA PERRY is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is TARA PERRY registered?
Use Marysville, Michigan as the headline location for TARA PERRY here.
When was this NPI issued?
Enumeration for TARA PERRY is noted as June 8, 2020 where the registry provides it.

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