TARA JOHNSON NP
NPI 1174081715
Nurse Practitioner - Adult Health in Kansas City, MO

Q: What is Tara Johnson's NPI number?

The NPI number for Tara Johnson is 1174081715. It was assigned to this individual provider in the NPPES registry on March 2, 2019.

Q: What is Tara Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Tara Johnson was last updated on February 22, 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.

Active since March 02, 2019PECOS Enrolled

3801 BLUE PKWY, KANSAS CITY, MO 64130(816) 923-5800 Get Directions Write a Review

NPPES record last updated: February 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2020, Mar 2, 2019 (2 updates tracked since 2019).

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About Tara Johnson Np NPPES

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

TARA JOHNSON NP (NPI 1174081715) is an individual adult health provider in Kansas City, Missouri, licensed in Missouri (2018032269) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174081715

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameTARA JOHNSONCredential: NP

Location Address3801 BLUE PKWYKansas City, MO 64130-2807

Mailing Address7100 E 134th TerGrandview, MO 64030-3357 · (816) 797-9353

Phone(816) 923-5800

Sole ProprietorNo

Enumeration DateMarch 2, 2019

Last NPPES UpdateFebruary 22, 20202 updates tracked since enumeration

✔ NPI 1174081715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MO · 2018032269

Also ListedNurse PractitionerTaxonomy 363L00000X · License 78424 (KS)

3801 BLUE PKWY, Kansas City, MO 64130

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Johnson Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64130 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

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.

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.

SEAN M RYAN FNP-C

Nurse Practitioner (Family)