MS. TACARA NICHOLE ANDERSON APRN, FNP-C
NPI 1053922294
Nurse Practitioner - Family in Clayton, NC
About Ms. Tacara Nichole Anderson Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TACARA NICHOLE ANDERSON APRN, FNP-C (NPI 1053922294) is an individual family provider in Clayton, North Carolina, licensed in North Carolina (5016648) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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
Ms. Tacara Nichole Anderson Aprn, Fnp-c 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.
Medicare Billing Reassignments
10Medicare enrollment records show Tacara Anderson reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10022
- Reassigned Medicare billing, Florida, New Mexico and West Virginia enrollments
- Medicare enrollment name: Daniel Funsch Jr MD PC
- 124 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Daniel Funsch Jr MD Professional Corporation
- 40 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Florida and New Mexico enrollments
- 42 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Delaware, Florida, Maryland, North Carolina, New Hampshire, Virginia, Vermont, Washington and West Virginia enrollments
- 26 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Delaware, Florida, Maryland, Missouri, North Carolina, New Hampshire, Virginia, Vermont, Washington and West Virginia enrollments
- 41 clinicians in this Medicare group
Bronx, NY 10465
- Reassigned Medicare billing, New York enrollment
- 20 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Colorado and North Carolina enrollments
- 26 clinicians in this Medicare group
Miami, FL 33162
- Reassigned Medicare billing, Delaware, Florida, North Carolina, New Hampshire, Virginia, Vermont, Washington and West Virginia enrollments
- 31 clinicians in this Medicare group
Naperville, IL 60563
- Reassigned Medicare billing, North Carolina enrollment
- 64 clinicians in this Medicare group
Lyndonville, VT 05851
- Reassigned Medicare billing, Vermont enrollment
- 64 clinicians in this Medicare group
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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27520 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tacara Anderson's NPI number?
The NPI number for Tacara Anderson is 1053922294. It was assigned to this individual provider in the NPPES registry on August 12, 2020.
Where is Tacara Anderson located?
Tacara Anderson practices at 11618 Clayton Blvd, Clayton, NC 27520. The listed phone number is (919) 416-8010.
What is Tacara Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tacara Anderson enrolled in Medicare?
Yes. Tacara Anderson 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 Tacara Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tacara Anderson reassigns Medicare benefits to 10 organizations: Daniel Funsch Jr, M.D., P.C. (New York, NY), Daniel Funsch Jr, M.D., Professional Corporation (New York, NY), Dr Medical Services PC (New York, NY), Dr Rebman Bh LLC (New York, NY), Ivy Medical Group PLLC (New York, NY) and 5 more organizations, listed in the Medicare section above. 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 Tacara Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tacara Anderson accept?
Health plans from Blue Cross and Blue Shield of Texas, Highmark Blue Cross Blue Shield Delaware and WellPoint list Tacara Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tacara Anderson was last updated on January 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Ms. Tacara Nichole Anderson, APRN, FNP-C · NPI 1053922294
Family physician in Clayton, North Carolina. Individual provider, active in the CMS NPPES registry since August 12, 2020.
## Identity
- **NPI:** 1053922294 (Entity type: Individual)
- **Enumerated:** August 12, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5016648 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11618 CLAYTON BLVD, Clayton, NC 27520-2275
- **Phone:** (919) 416-8010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Daniel Funsch Jr, M.D., P.C. (NPI 1316784580, New York, NY); Daniel Funsch Jr, M.D., Professional Corporation (NPI 1376389163, New York, NY); Dr Medical Services PC (NPI 1053012401, New York, NY); Dr Rebman Bh LLC (NPI 1114894540, New York, NY); Ivy Medical Group PLLC (NPI 1700558798, New York, NY); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053922294) · Data from the CMS NPPES public registry.