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TARA CLARK
NPI 1033703061
Nurse Practitioner - Family in Stafford, VA

Active since February 20, 2021PECOS EnrolledAccepts Medicare Assignment
422 GARRISONVILLE RD STE 102, STAFFORD, VA 22554(540) 657-4800 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 19, 2024, Feb 20, 2021 (2 updates tracked since 2021).

About Tara Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA CLARK (NPI 1033703061) is an individual family provider in Stafford, Virginia, licensed in Virginia (0024180221) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and maintains a secondary practice location in Fredericksburg.

NPPES Registry Identity

NPI1033703061
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA CLARK
Location Address422 GARRISONVILLE RD STE 102Stafford, VA 22554-1573
Mailing Address6315 Wendover CtFredericksburg, VA 22407-5061 · (386) 898-4714
Phone(540) 657-4800
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2019
Enumeration DateFebruary 20, 2021
Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1033703061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024180221
422 GARRISONVILLE RD STE 102, Stafford, VA 22554
Open in Google Maps ↗

Secondary Practice Location 1

Location 16315 Wendover CtFredericksburg, VA 22407-5061 · Phone (386) 898-4714

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709264617
PECOS Enrollment IDI20220606002131
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Tara Clark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Washington Healthcare Physicians
12 mi
Family Medicine
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 547 clinicians in this Medicare group
NPI 1295999852 (540) 741-1100
Virginia Internal Medicine Inc
36 mi
Internal Medicine
41816 FENWAY CIR
Ashburn, VA 20148
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 127 clinicians in this Medicare group
NPI 1740525245 (347) 761-7200
Signify Health, LLC
1,154 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Virginia enrollment
  • 501 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
239 services89 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
184 services78 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
152 services60 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
65 services34 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
36 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEPA PAI
Family Medicine
422 GARRISONVILLE RD STE 102
STAFFORD, VA 22554
Stafford County (540) 657-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Clark's NPI number?

The NPI number for Tara Clark is 1033703061. It was assigned to this individual provider in the NPPES registry on February 20, 2021.

Where is Tara Clark located?

Tara Clark practices at 422 Garrisonville Rd Ste 102, Stafford, VA 22554. The listed phone number is (540) 657-4800.

What is Tara Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tara Clark enrolled in Medicare?

Yes. Tara Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tara Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Clark reassigns Medicare benefits to 3 organizations: Mary Washington Healthcare Physicians (Fredericksburg, VA), Virginia Internal Medicine Inc (Ashburn, VA) and Signify Health, LLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tara Clark affiliated with any hospitals?

According to CMS data, Tara Clark is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Tara Clark was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.