MRS. TARA A CAMPO NP-C
NPI 1144737123
Nurse Practitioner - Family in Bourbonnais, IL

Active since December 29, 2017PECOS EnrolledAccepts Medicare Assignment
400 RIVERSIDE DR STE 2100, BOURBONNAIS, IL 60914(815) 935-2784(815) 935-5687 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2021, Feb 27, 2020, Nov 8, 2019 and 2 more (5 updates tracked since 2017).

About Mrs. Tara A Campo Np-c NPPES

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

MRS. TARA A CAMPO NP-C (NPI 1144737123) is an individual family provider in Bourbonnais, Illinois, licensed in Illinois (209.017017) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1144737123
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TARA A CAMPOCredential: NP-C
Location Address400 RIVERSIDE DR STE 2100Bourbonnais, IL 60914-5004
Mailing Address400 Riverside Dr Ste 2100Bourbonnais, IL 60914-5004 · (815) 935-2784 · Fax (815) 935-5687
Fax(815) 935-5687
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 29, 2017
Last NPPES UpdateMarch 22, 20215 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
NPI 1144737123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.017017
400 RIVERSIDE DR STE 2100, Bourbonnais, IL 60914

Other Names 1

Former Name (1)Tara A Halliday Np-c

Secondary Practice Location 1

Location 1105 S First StWilmington, IL 60481-8973 · Phone (815) 476-5210 · Fax (815) 476-4193

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

Mrs. Tara A Campo Np-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 ID7113286881
PECOS Enrollment IDI20180125003187
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 9

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.

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.
165 services89 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services24 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services11 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60914 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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers18 claims76 services$5.90 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$32.27 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers16 claims83 services$2.25 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.33 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier15 claims15 services$37.23 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$24.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Internal Medicine
400 RIVERSIDE DR STE 2100
BOURBONNAIS, IL 60914
Nurse Practitioner
400 RIVERSIDE DR STE 2100
BOURBONNAIS, IL 60914
Nurse Practitioner (Family)
400 RIVERSIDE DR STE 2100
BOURBONNAIS, IL 60914
Podiatrist
400 RIVERSIDE DR STE 2100
BOURBONNAIS, IL 60914
Internal Medicine
400 RIVERSIDE DR STE 2100
BOURBONNAIS, IL 60914
Nurse Practitioner (Family)
400 RIVERSIDE DR STE 2100
BOURBONNAIS, IL 60914

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 Campo's NPI number?

The NPI number for Tara Campo is 1144737123. It was assigned to this individual provider in the NPPES registry on December 29, 2017. The provider is also known as Tara A Halliday Np-C.

Where is Tara Campo located?

Tara Campo practices at 400 Riverside Dr Ste 2100, Bourbonnais, IL 60914. The listed phone number is (815) 935-2784.

What is Tara Campo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tara Campo enrolled in Medicare?

Yes. Tara Campo 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 Campo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Tara Campo 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 Campo affiliated with any hospitals?

According to CMS data, Tara Campo is affiliated with Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Tara Campo was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.