TARA L. PETERSON (APRN) – Gerontology Nurse Practitioner, NPI 1235108457

TARA L. PETERSON (APRN) is a healthcare provider. based in Omaha, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 110711 (NE). The NPI Number for TARA L. PETERSON (APRN) is 1235108457

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
TARA L. PETERSON (APRN)
NPI
1235108457
Phone
(402) 397-7057
Address
8901 INDIAN HILLS DR
Enumeration Date
17 March 2006
Last Update Date
8 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7123966000
Graduation Year
2005 (21 years ago)
PAC ID
6507890373
Group Practice PAC ID
3779575766
Professional Enrollment ID
I20110124000381
Address ID
IA515034626CO933XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

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Provider Addresses for TARA L. PETERSON (APRN)

  • 8901, Indian Hills Drive, Omaha, Douglas County, Nebraska, 68114, United States

    SUITE 200

    OMAHA, NE 681144057

    Phone: (402) 397-7057

    Fax: (402) 397-6656

    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)

CMS reports 42 Open Payments records for all available years, with a total value of $1,070.

Total Amount is formed as General ($1,070) + Research ($0) + Ownership ($0) = $1,070.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AIMMUNE THERAPEUTICS, INC. ($355).

Total Amount

$1,070

General + Research + Ownership

Payments

42

Total payment records

General Amount

$1,070

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2011-01-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050921000462INurse PractitionerNETBD
I20110124000381INurse PractitionerIATBD

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 minutes5755$0
99214Established patient office or other outpatient visit, 30-39 minutes4846$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4437$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
36415Insertion of needle into vein for collection of blood sample1717$0
View full utilization report →

Insurance plans in this area (ZIP 68114)

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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: 3779575766View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YNE
Physician AssistantNE
Nurse PractitionerNE
G A S T R O E N T E R O L O G YNE
G A S T R O E N T E R O L O G YNE
Nurse PractitionerNE
Nurse PractitionerNE
G A S T R O E N T E R O L O G YNE
Nurse PractitionerNE
Certified Registered Nurse Anesthetist (Crna)NE

Reviews

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Frequently asked questions

What is the registry number for TARA L. PETERSON (APRN)?
The registry entry for TARA L. PETERSON (APRN) shows NPI 1235108457.
Is TARA L. PETERSON (APRN) currently accepting referrals based on NPI status?
Registry metadata lists TARA L. PETERSON (APRN) as active.
What type of care does TARA L. PETERSON (APRN) provide?
TARA L. PETERSON (APRN)'s profile centers on Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to TARA L. PETERSON (APRN)?
The directory associates TARA L. PETERSON (APRN) with Omaha, Nebraska. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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