MS. TARA LYRAE SWAN (APN) – Family Nurse Practitioner, NPI 1982773586
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MS. TARA LYRAE SWAN (APN)
807 E Broadway St
Brunswick, MO 652361468
Phone: (660) 548-2012
Type: Location
1502 N Jefferson St
Carrollton, MO 646331948
Phone: (660) 542-1695
Type: Location
Carroll County Memorial Hospital, 1502, North Jefferson Street, Carrollton, Carroll County, Missouri, 64633, United States
ATTN: JEAN STEELE
CARROLLTON, MO 646331948
Phone: (660) 542-1695
Fax: (660) 542-0363
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $1,765.
Total Amount is formed as General ($1,765) + Research ($0) + Ownership ($0) = $1,765.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: MIMEDX Group, Inc. ($1,109).
Total Amount
$1,765
General + Research + Ownership
Payments
133
Total payment records
General Amount
$1,765
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $1,109 |
| ABBVIE INC. | $270 |
| Lilly USA, LLC | $98 |
| AstraZeneca Pharmaceuticals LP | $37 |
| Smith+Nephew, Inc. | $32 |
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: 2007-11-21
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 |
|---|---|---|---|---|
| I20071121000458 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 59 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 23 | $0 |
Insurance plans in this area (ZIP 65236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | MO | |
| Nurse Practitioner | FL | |
| Family Practice | IL | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO |
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