TARA BARRACK PA-C
NPI 1104266865
Physician Assistant - Surgical in Maple Grove, MN

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
9555 UPLAND LN N, MAPLE GROVE, MN 55369(952) 993-1440 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2020, Aug 30, 2019, Oct 17, 2016 (3 updates tracked since 2016).

About Tara Barrack Pa-c NPPES

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

TARA BARRACK PA-C (NPI 1104266865) is an individual surgical provider in Maple Grove, Minnesota and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104266865
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameTARA BARRACKCredential: PA-C
Location Address9555 UPLAND LN NMaple Grove, MN 55369-4485
Mailing Address9555 Upland Ln NMaple Grove, MN 55369-4485 · (952) 993-1440
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 26, 2013
Last NPPES UpdateApril 14, 20203 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
NPI 1104266865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X · License 11382 (MN)
9555 UPLAND LN N, Maple Grove, MN 55369

Other Names 1

Former Name (1)Tara Garber Pa-c

Secondary Practice Locations 2

Location 12090 Woodwinds Dr Ste 200Woodbury, MN 55125-2522 · Phone (651) 968-5201 · Fax (651) 968-5904
Location 28100 Northland DrBloomington, MN 55431-4800 · Phone (952) 831-8742

Accepted Insurance

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

Tara Barrack Pa-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.

PECOS PAC ID6800038464
PECOS Enrollment IDI20130809000534
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.

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
2,040 services23 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,440 services101 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
178 services116 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
150 services144 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.
69 services63 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services22 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Psychologist (Cognitive & Behavioral)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Marriage & Family Therapist
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Psychologist
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Psychiatry & Neurology (Psychiatry)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Internal Medicine
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Pediatrics
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Psychologist (Clinical)
9555 UPLAND LN N
MAPLE GROVE, MN 55369

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 Barrack's NPI number?

The NPI number for Tara Barrack is 1104266865. It was assigned to this individual provider in the NPPES registry on June 26, 2013. The provider is also known as Tara Garber Pa-C.

Where is Tara Barrack located?

Tara Barrack practices at 9555 Upland Ln N, Maple Grove, MN 55369. The listed phone number is (952) 993-1440.

What is Tara Barrack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Tara Barrack enrolled in Medicare?

Yes. Tara Barrack 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.

What insurance does Tara Barrack accept?

Health plans from HealthPartners and Medica list Tara Barrack 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.

Is Tara Barrack affiliated with any hospitals?

According to CMS data, Tara Barrack is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Tara Barrack was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.