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MRS. TARA R DETERS PA-C
NPI 1245330521
Physician Assistant in Brockway, MI

Active since September 25, 2006PECOS Enrolled
7470 BROCKWAY RD, BROCKWAY, MI 48097(810) 387-3211(810) 387-2279 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Tara R Deters Pa-c NPPES

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

MRS. TARA R DETERS PA-C (NPI 1245330521) is an individual physician assistant in Brockway, Michigan, licensed in Michigan (5601004579) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245330521
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. TARA R DETERSCredential: PA-C
Location Address7470 BROCKWAY RDBrockway, MI 48097-3458
Mailing Address36591 Crimson LnNew Baltimore, MI 48047-5588 · (586) 716-2780
Phone(810) 387-3211
Fax(810) 387-2279
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245330521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601004579
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7470 BROCKWAY RD, Brockway, MI 48097
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tara R Deters Pa-c 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 48097 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 18

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

DR. SCOTT A MCPHILIMY D.O.
Family Medicine
7470 BROCKWAY RD
BROCKWAY, MI 48097
St. Clair County (810) 387-9355
LAURA LOUISE BROSIUS
Nurse Practitioner (Family)
7470 BROCKWAY RD
BROCKWAY, MI 48097
St. Clair County (810) 387-3211
MELISSA SUE OCONNOR RN
Registered Nurse
7470 BROCKWAY RD
BROCKWAY, MI 48097
St. Clair County (810) 387-3211
BRIANNA J STEADMAN PA-C
Physician Assistant (Medical)
7470 BROCKWAY RD
BROCKWAY, MI 48097
St. Clair County (810) 387-9355
FAMILY FIRST HEALTH CARE, YALE, P.L.L.C.
Family Medicine
7470 BROCKWAY RD
BROCKWAY, MI 48097
St. Clair County (810) 387-9355
MRS. CAROLYN MARIE RICHARDS PA-C
Physician Assistant (Medical)
7470 BROCKWAY RD
BROCKWAY, MI 48097
St. Clair County (810) 387-9355
DR. MARC CHRISTOPHER BRANCACCIO PHARMD.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
7470 BROCKWAY RD
BROCKWAY, MI 48097
St. Clair County (810) 387-3211
MELISSA MARIUTZA NP
Nurse Practitioner (Primary Care)
7470 BROCKWAY RD
BROCKWAY, MI 48097
St. Clair County (810) 387-3211

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 Deters's NPI number?

The NPI number for Tara Deters is 1245330521. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Tara Deters located?

Tara Deters practices at 7470 Brockway Rd, Brockway, MI 48097. The listed phone number is (810) 387-3211.

What is Tara Deters's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tara Deters enrolled in Medicare?

Yes. Tara Deters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Deters was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.