TARA DILLON – Family Nurse Practitioner, NPI 1124405915

TARA DILLON is a healthcare provider. based in Granville, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. COA.17287-NP (OH). The NPI Number for TARA DILLON is 1124405915

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
TARA DILLON
NPI
1124405915
Phone
(740) 321-0400
Address
590 NEWARK GRANVILLE RD
Enumeration Date
30 April 2015
Last Update Date
27 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304736860
Graduation Year
2015 (11 years ago)
PAC ID
8022322510
Group Practice PAC ID
8123351954
Professional Enrollment ID
I20150728004854
Address ID
OH446549374MI4245XDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TARA DILLON

  • 590 NEWARK GRANVILLE RD

    GRANVILLE, OH 430231436

    Phone: (740) 321-0400

    Type: Mailing

  • 73 MILL ST STE C

    GAHANNA, OH 432303080

    Phone: (614) 654-0002

    Fax: (407) 602-0851

    Type: Location

  • 5650 S 12TH AVE STE 132

    TUCSON, AZ 857063187

    Phone: (877) 465-6650

    Fax: (804) 294-2775

    Type: Location

  • 5650 S 12th Ave Ste 132

    Tucson, AZ 857063187

    Phone: (877) 465-6650

    Fax: (804) 294-2775

    Type: Location

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: 2025-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20150728004854INurse PractitionerOHTBD
I20240418003327INurse PractitionerAZTBD
I20251117002255INurse PractitionerNMTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2519$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1712$0
View full utilization report →

Insurance plans in this area (ZIP 43023)

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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: 8123351954View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerMO
-TN
Family PracticeOH
Internal MedicineVA
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerMO

Reviews

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Frequently asked questions

What unique ID ties claims to TARA DILLON?
NPI 1124405915 is assigned to TARA DILLON under the national enumeration system.
Is TARA DILLON currently active in the NPI registry?
CMS-published data lists TARA DILLON as an active registrant.
What kind of provider is TARA DILLON?
The page reflects Family Nurse Practitioner for TARA DILLON. Clinical services aligned with this taxonomy classification.
What location metadata exists for TARA DILLON?
The page summarizes Granville, Ohio for TARA DILLON; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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