TARA L JOHNSON FNP
NPI 1194261479
Nurse Practitioner - Family in Moline, IL

Active since January 11, 2017PECOS EnrolledAccepts Medicare Assignment
1100 36TH AVE, MOLINE, IL 61265(309) 743-6700(309) 764-2042 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 11, 2021, Jun 25, 2018, Jan 11, 2017 (3 updates tracked since 2017).

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

NPI1194261479
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA L JOHNSONCredential: FNP
Location Address1100 36TH AVEMoline, IL 61265-7127
Mailing Address1236 E Rusholme St Ste 300Davenport, IA 52803-2473 · (563) 324-2992 · Fax (566) 324-8562
Fax(309) 764-2042
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 11, 2017
Last NPPES UpdateFebruary 11, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
NPI 1194261479 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
Licenses Licensed in IA · 108072 Licensed in IL · 209015676
1100 36TH AVE, Moline, IL 61265

Secondary Practice Location 1

Location 12701 17th StRock Island, IL 61201-5351 · Phone (309) 779-5000 · Fax (309) 779-2105

Accepted 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

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.

PECOS PAC ID5597049379
PECOS Enrollment IDI20170425000743
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
49 services48 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
43 services42 patients

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, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

Physician 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.

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.

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.

Nurse Practitioner (Family)
1100 36TH AVE
MOLINE, IL 61265
Family Medicine
1100 36TH AVE
MOLINE, IL 61265
Nurse Practitioner
1100 36TH AVE
MOLINE, IL 61265
Internal Medicine (Clinical Cardiac Electrophysiology)
1100 36TH AVE
MOLINE, IL 61265
Nurse Practitioner (Gerontology)
1100 36TH AVE
MOLINE, IL 61265
Nurse Practitioner (Family)
1100 36TH AVE
MOLINE, IL 61265
Nurse Practitioner (Family)
1100 36TH AVE
MOLINE, IL 61265
Nurse Practitioner
1100 36TH AVE
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.

What insurance does Tara Johnson accept?

Health plans from Medica 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 with the weekly NPPES data releases published by CMS.