Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TAMAR GREENLY APRN
NPI 1194012005
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, IL

Q: What is Tamar Greenly's NPI number?

The NPI number for Tamar Greenly is 1194012005. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Q: What is Tamar Greenly'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 Tamar Greenly was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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 June 30, 2011PECOS Enrolled

702 W CHESTNUT ST, BLOOMINGTON, IL 61701(309) 557-1400(309) 557-1461 Get Directions Write a Review

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

Record update history: Jul 22, 2026, Dec 18, 2017, Aug 22, 2017 (3 updates tracked since 2017).

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About Tamar Greenly Aprn NPPES

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

TAMAR GREENLY APRN (NPI 1194012005) is an individual psychiatric/mental health provider in Bloomington, Illinois, licensed in Illinois (277.005213) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1194012005

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTAMAR GREENLYCredential: APRN

Location Address702 W CHESTNUT STBloomington, IL 61701-2814

Mailing Address1003 Martin Luther King DrBloomington, IL 61701-1429 · (888) 924-3786

Phone(309) 557-1400

Fax(309) 557-1461

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 30, 2011

Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1194012005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

Licenses✔ Licensed in IL · 277.005213✔ Licensed in AZ · AP8308

702 W CHESTNUT ST, Bloomington, IL 61701

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Secondary Practice Location 1

Location 14451 E Oak StPhoenix, AZ 85008-2410 · Phone (602) 599-5434 · Fax (602) 599-5734

Other Identifiers 1

Medicaid011587AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, 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 and accepts Medicare assignment

Tamar Greenly Aprn 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 ID1658541891

PECOS Enrollment IDI20150528001456

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 2

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

59 services31 patients

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.

21 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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.

MR. BRYAN JAMES HINMAN M.A.

Counselor (Mental Health)