TARA L JOHNSON FNP
NPI 1194261479
Nurse Practitioner - Family in Moline, IL
About Tara L Johnson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA L JOHNSON FNP (NPI 1194261479) is an individual family provider in Moline, Illinois, licensed in Iowa (108072) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and maintains a secondary practice location in Rock Island.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tara L Johnson Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tara Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rock Island, IL 61201
- Reassigned Medicare billing, Illinois enrollment
- 159 clinicians in this Medicare group
Davenport, IA 52803
- Reassigned Medicare billing, Illinois enrollment
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinity Rock Island
Acute Care Hospitals · Rock Island, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOLINE, IL 61265
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 Johnson's NPI number?
The NPI number for Tara Johnson is 1194261479. It was assigned to this individual provider in the NPPES registry on January 11, 2017.
Where is Tara Johnson located?
Tara Johnson practices at 1100 36th Ave, Moline, IL 61265. The listed phone number is (309) 743-6700.
What is Tara Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tara Johnson enrolled in Medicare?
Yes. Tara Johnson 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.
Which organizations bill Medicare for Tara Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Johnson reassigns Medicare benefits to 2 organizations: Trinity Medical Center (Rock Island, IL) and Cardiovascular Medicine PLLC (Davenport, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Johnson accept?
Health plans from Wellmark Health Plan of Iowa, Inc. list Tara Johnson 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 Johnson affiliated with any hospitals?
According to CMS data, Tara Johnson is affiliated with Trinity Rock Island.
When was this NPI record last updated?
The NPPES record for Tara Johnson was last updated on February 11, 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.
# Tara L Johnson, FNP · NPI 1194261479
Family physician in Moline, Illinois. Individual provider, active in the CMS NPPES registry since January 11, 2017.
## Identity
- **NPI:** 1194261479 (Entity type: Individual)
- **Enumerated:** January 11, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 108072 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 36TH AVE, Moline, IL 61265-7127
- **Phone:** (309) 743-6700 · **Fax:** (309) 764-2042
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trinity Medical Center (NPI 1568414134, Rock Island, IL); Cardiovascular Medicine PLLC (NPI 1982632907, Davenport, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1194261479) · Data from the CMS NPPES public registry.