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TARA POWELL PA-C
NPI 1093103699
Physician Assistant - Medical in Idaho Falls, ID

Active since January 05, 2015PECOS Enrolled
2730 CHANNING WAY, IDAHO FALLS, ID 83404(208) 542-7100(208) 542-7150 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Powell Pa-c NPPES

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

TARA POWELL PA-C (NPI 1093103699) is an individual medical provider in Idaho Falls, Idaho, licensed in Idaho (PA-1198) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093103699
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTARA POWELLCredential: PA-C
Location Address2730 CHANNING WAYIdaho Falls, ID 83404-5049
Mailing Address2730 Channing WayIdaho Falls, ID 83404-5049 · (208) 542-7100 · Fax (208) 542-7150
Phone(208) 542-7100
Fax(208) 542-7150
Sole ProprietorNo
Enumeration DateJanuary 5, 2015
✔ NPI 1093103699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-1198
2730 CHANNING WAY, Idaho Falls, ID 83404
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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 (PECOS)

Tara Powell Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

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

KARMA YOUNGSTROM PA-C
Physician Assistant
2730 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 542-7100
ANNE L BROADWAY M.D.
Family Medicine
2730 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 542-7100
TREVOR R BARTLETT NP
Nurse Practitioner (Family)
2730 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 542-7100
MOUNTAIN VIEW HOSPITAL LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2730 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 542-7100
DAVID WINCHESTER FNP
Nurse Practitioner
2730 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 542-7100
REBECCA VAUGHN PA-C
Physician Assistant (Medical)
2730 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 542-7100
DEMETRIOS PLOMARITIS PA-C
Physician Assistant
2730 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 542-7100

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 Powell's NPI number?

The NPI number for Tara Powell is 1093103699. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Where is Tara Powell located?

Tara Powell practices at 2730 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 542-7100.

What is Tara Powell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tara Powell enrolled in Medicare?

Yes. Tara Powell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Powell was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.