TARA FLEEMAN
NPI 1124838065
Nurse Practitioner - Psychiatric/Mental Health in Salem, IL

Q: What is Tara Fleeman's NPI number?

The NPI number for Tara Fleeman is 1124838065. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Q: What is Tara Fleeman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tara Fleeman was last updated on October 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 13, 2025PECOS EnrolledAccepts Medicare Assignment

1201 RICKER RD, SALEM, IL 62881(618) 548-3194 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tara Fleeman NPPES

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

TARA FLEEMAN (NPI 1124838065) is an individual psychiatric/mental health provider in Salem, Illinois, licensed in Illinois (209032543) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124838065

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTARA FLEEMAN

Location Address1201 RICKER RDSalem, IL 62881-4263

Mailing Address1201 Ricker RdSalem, IL 62881-4263 · (618) 548-3194

Phone(618) 548-3194

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 13, 2025

Last NPPES UpdateOctober 14, 2025

NPPES CertifiedOctober 14, 2025

✔ NPI 1124838065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209032543

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 041336663 (IL)

1201 RICKER RD, Salem, IL 62881

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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

Tara Fleeman 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 ID6204332760

PECOS Enrollment IDI20251002004336

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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 62881 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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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.

DEACONESS ILLINOIS CLINIC, INC

Family Medicine