TARAH ADELE HENDERSON NP
NPI 1073483467
Nurse Practitioner - Gerontology in Camby, IN

Active since November 10, 2025PECOS EnrolledAccepts Medicare Assignment
10701 ALLIANCE DR STE A, CAMBY, IN 46113(317) 856-7083(317) 856-7332 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 9, 2026, Nov 10, 2025 (2 updates tracked since 2025).

About Tarah Adele Henderson Np NPPES

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

TARAH ADELE HENDERSON NP (NPI 1073483467) is an individual gerontology provider in Camby, Indiana, licensed in Indiana (71017539A) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073483467
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTARAH ADELE HENDERSONCredential: NP
Location Address10701 ALLIANCE DR STE ACamby, IN 46113-8837
Mailing AddressPo Box 781076Detroit, MI 48278-1008 · (317) 528-4800 · Fax (317) 865-1479
Fax(317) 856-7332
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 10, 2025
Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
NPI 1073483467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in IN · 71017539A
Also ListedInternal MedicineTaxonomy 207R00000X · License 28256630A (IN)
10701 ALLIANCE DR STE A, Camby, IN 46113

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tarah Adele Henderson Np 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 ID42798894
PECOS Enrollment IDI20260202003135
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.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.51 for a new patient copayment and $23.55 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 46113 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.04
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $20.51
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.22
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $23.55
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Adult Health)
10701 ALLIANCE DR STE A
CAMBY, IN 46113
Nurse Practitioner (Women's Health)
10701 ALLIANCE DR STE A
CAMBY, IN 46113
Internal Medicine
10701 ALLIANCE DR STE A
CAMBY, IN 46113
Nurse Practitioner (Family)
10701 ALLIANCE DR STE A
CAMBY, IN 46113
Internal Medicine
10701 ALLIANCE DR STE A
CAMBY, IN 46113

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073483467, enumerated as an "individual" on November 10, 2025.

The provider is located at 10701 ALLIANCE DR STE A CAMBY, IN 46113 and the phone number is (317) 856-7083.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.