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MISS TARA LEEANNE HERNDON APRN
NPI 1154076495
Nurse Practitioner - Family in Jacksonville, FL

Active since February 15, 2022PECOS Enrolled
11761 BEACH BLVD STE 8, JACKSONVILLE, FL 32246(904) 642-3304(904) 642-8375 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Tara Leeanne Herndon Aprn NPPES

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

MISS TARA LEEANNE HERNDON APRN (NPI 1154076495) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11017994) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154076495
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS TARA LEEANNE HERNDONCredential: APRN
Location Address11761 BEACH BLVD STE 8Jacksonville, FL 32246-6699
Mailing Address11761 Beach Blvd Ste 8Jacksonville, FL 32246-6699 · (904) 642-3304 · Fax (904) 642-8375
Phone(904) 642-3304
Fax(904) 642-8375
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 15, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1154076495 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 FL · APRN11017994
11761 BEACH BLVD STE 8, Jacksonville, FL 32246
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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)

Miss Tara Leeanne Herndon Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436252640
PECOS Enrollment IDI20241111003948
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 32246 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Herndon's NPI number?

The NPI number for Tara Herndon is 1154076495. It was assigned to this individual provider in the NPPES registry on February 15, 2022.

Where is Tara Herndon located?

Tara Herndon practices at 11761 Beach Blvd Ste 8, Jacksonville, FL 32246. The listed phone number is (904) 642-3304.

What is Tara Herndon's specialty?

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

Is Tara Herndon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tara Herndon was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.