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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: August 16, 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, is affiliated with Franciscan Health Mooresville, 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
Phone(317) 856-7083
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
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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.

Hospital Affiliations CMS Care Compare

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

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150057
Location1201 Hadley RdMooresville, IN 46158 · Morgan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46113 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 4

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

DIANNA L BOYER M.D.
Internal Medicine
10701 ALLIANCE DR STE A
CAMBY, IN 46113
Marion County (317) 856-7083
PATRICIA L MCELROY N.P.
Nurse Practitioner (Adult Health)
10701 ALLIANCE DR STE A
CAMBY, IN 46113
Marion County (317) 856-7083
TRACI LYNN MARTIN NP
Nurse Practitioner (Family)
10701 ALLIANCE DR STE A
CAMBY, IN 46113
Marion County (317) 856-7083
MRS. DAWN MARIE GUNDERSON NP
Nurse Practitioner (Women's Health)
10701 ALLIANCE DR STE A
CAMBY, IN 46113
Marion County (317) 856-7083

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 Tarah Henderson's NPI number?

The NPI number for Tarah Henderson is 1073483467. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Where is Tarah Henderson located?

Tarah Henderson practices at 10701 Alliance Dr Ste A, Camby, IN 46113. The listed phone number is (317) 856-7083.

What is Tarah Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Tarah Henderson enrolled in Medicare?

Yes. Tarah Henderson 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.

Is Tarah Henderson affiliated with any hospitals?

According to CMS data, Tarah Henderson is affiliated with Franciscan Health Mooresville.

When was this NPI record last updated?

The NPPES record for Tarah Henderson was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.