TARRA A WILSON (FNP) – Family Nurse Practitioner, NPI 1902164775

TARRA A WILSON (FNP) is a healthcare provider. based in La follette, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. APN16554 (TN). The NPI Number for TARRA A WILSON (FNP) is 1902164775

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
TARRA A WILSON (FNP)
NPI
1902164775
Phone
(423) 907-1600
Address
905 E CENTRAL AVE
Enumeration Date
30 April 2012
Last Update Date
2 September 2020

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
4239071700
Graduation Year
2011 (15 years ago)
PAC ID
0648435206
Group Practice PAC ID
3173795168
Professional Enrollment ID
I20120703000696
Address ID
TN377663003LA2145XPIKE300

Contacts

Secure Messaging
tarra.wilson.2@4694.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

10,664 NURSE PRACTITIONER in TN

Provider Addresses for TARRA A WILSON (FNP)

  • 905 E CENTRAL AVE

    LA FOLLETTE, TN 377662768

    Phone: (423) 907-1600

    Fax: (423) 907-1646

    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 19 Open Payments records for all available years, with a total value of $345.

Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Novo Nordisk Inc ($61).

Total Amount

$345

General + Research + Ownership

Payments

19

Total payment records

General Amount

$345

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2012-07-03

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120703000696INurse PractitionerTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37766)

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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: 3173795168View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Family PracticeTN
-TN
Nurse PractitionerTN
Family PracticeTN

Reviews

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Frequently asked questions

How do I look up TARRA A WILSON (FNP) by NPI?
Use NPI 1902164775 when you need to reference TARRA A WILSON (FNP) in forms, claims, or directories.
Is TARRA A WILSON (FNP) active in the national directory?
TARRA A WILSON (FNP)'s public NPI profile is in an active state.
What does TARRA A WILSON (FNP) treat or focus on?
Patients typically see TARRA A WILSON (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for TARRA A WILSON (FNP)?
We surface La Follette, Tennessee for TARRA A WILSON (FNP) based on available NPPES addresses.
How can I contact TARRA A WILSON (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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