TARA RAE EVANS (NP-C) – Family Nurse Practitioner, NPI 1740792522
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for TARA RAE EVANS (NP-C)
7407 N Genesee Rd
Genesee, MI 484377722
Phone: (810) 875-9168
Fax: (810) 875-9168
Type: Location
5919 BRIGHAM RD
GOODRICH, MI 484389646
Phone: (248) 240-6918
Type: Mailing
612, North State Road, Davison, Genesee County, Michigan, 48423, United States
DAVISON, MI 484233505
Phone: (810) 652-6600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $796.
Total Amount is formed as General ($796) + Research ($0) + Ownership ($0) = $796.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($224).
Total Amount
$796
General + Research + Ownership
Payments
44
Total payment records
General Amount
$796
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
| Company | Amount |
|---|---|
| IRONSHORE PHARMACEUTICALS INC. | $224 |
| Corium, LLC | $122 |
| PFIZER INC. | $109 |
| Ironshore Pharmaceuticals Inc. | $94 |
| Merck Sharp & Dohme LLC | $91 |
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: 2017-11-27
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 |
|---|---|---|---|---|
| I20171127001015 | I | Nurse Practitioner | MI | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 420 | 90 | $0 |
| 90688 | Influenza vaccine, quadrivalent, 0.5 ml dosage | 28 | 28 | $0 |
| G0008 | Administration of influenza virus vaccine | 27 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 48437)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI |
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