TARA E. KEGERIS FNP-C
NPI 1184009961
Nurse Practitioner - Family in Avon, IN

Active since July 22, 2015Opted out of Medicare · through May 2, 2028
8607 E US HIGHWAY 36 STE 100, AVON, IN 46123(317) 745-5403 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2022, Mar 23, 2021, Apr 15, 2020 (3 updates tracked since 2020).

About Tara E. Kegeris Fnp-c NPPES

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

TARA E. KEGERIS FNP-C (NPI 1184009961) is an individual family provider in Avon, Indiana, licensed in Indiana (71005791A) and active in the NPI registry since July 2015. She has opted out of Medicare through May 2, 2028.

NPPES Registry Identity

NPI1184009961
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA E. KEGERISCredential: FNP-C
Location Address8607 E US HIGHWAY 36 STE 100Avon, IN 46123-7960
Mailing Address8607 E Us Highway 36 Ste 100Avon, IN 46123-7960 · (317) 745-5403
Sole ProprietorNo
Enumeration DateJuly 22, 2015
Last NPPES UpdateMarch 2, 20223 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
NPI 1184009961 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 IN · 71005791A
8607 E US HIGHWAY 36 STE 100, Avon, IN 46123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Tara E. Kegeris Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 2, 2022 through May 2, 2028.

Opt-Out Effective DateMay 2, 2022
Opt-Out In Effect ThroughMay 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

Family Medicine
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Family Medicine
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Durable Medical Equipment & Medical Supplies
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Internal Medicine
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Psychiatry & Neurology (Neurology)
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Nurse Practitioner
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Nurse Practitioner (Family)
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123
Nurse Practitioner (Family)
8607 E US HIGHWAY 36 STE 100
AVON, IN 46123

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 Kegeris's NPI number?

The NPI number for Tara Kegeris is 1184009961. It was assigned to this individual provider in the NPPES registry on July 22, 2015.

Where is Tara Kegeris located?

Tara Kegeris practices at 8607 E Us Highway 36 Ste 100, Avon, IN 46123. The listed phone number is (317) 745-5403.

What is Tara Kegeris's specialty?

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

Is Tara Kegeris enrolled in Medicare?

No. Tara Kegeris has opted out of Medicare through May 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tara Kegeris was last updated on March 2, 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.