TARA SIMMONDS
NPI 1265107536
Nurse Practitioner in Fargo, ND

Active since August 10, 2021PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 23, 2024, Nov 12, 2024, May 20, 2022 and 1 more (4 updates tracked since 2021).

About Tara Simmonds NPPES

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

TARA SIMMONDS (NPI 1265107536) is an individual nurse practitioner in Fargo, North Dakota, licensed in Utah (12364428-4405) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Perham Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265107536
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTARA SIMMONDS
Location Address820 4TH ST NFargo, ND 58102-4539
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 10, 2021
Last NPPES UpdateDecember 23, 20244 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1265107536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 12364428-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 12364428-4405 (UT)
820 4TH ST N, Fargo, ND 58102

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 Simmonds 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 ID547648230
PECOS Enrollment IDI20241231002873
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tara Simmonds reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Occupational Medicine
3838 12TH AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
Dermatology
165 N. UNIVERSITY AVE. FARMINGTON
Farmington, UT 84025
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Perham Health

Critical Access Hospitals · Perham, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241373
Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County
Emergency services

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241379
Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Sanford Mayville

Critical Access Hospitals · Mayville, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351309
Location42 6th Avenue SEMayville, ND 58257 · Traill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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 $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Genetic Counselor, MS
820 4TH ST N
FARGO, ND 58102
Pharmacist
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Medical Oncology)
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Nurse Practitioner
820 4TH ST N
FARGO, ND 58102

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 Simmonds's NPI number?

The NPI number for Tara Simmonds is 1265107536. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Where is Tara Simmonds located?

Tara Simmonds practices at 820 4th St N, Fargo, ND 58102. The listed phone number is (701) 234-6161.

What is Tara Simmonds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tara Simmonds enrolled in Medicare?

Yes. Tara Simmonds 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 Simmonds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Simmonds reassigns Medicare benefits to 2 organizations: Sanford Medical Center Fargo (Fargo, ND) and University Of Utah Adult Services (Farmington, UT). 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 Simmonds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Simmonds accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Tara Simmonds 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 Simmonds affiliated with any hospitals?

According to CMS data, Tara Simmonds is affiliated with Perham Health, Prairie Ridge Hospital And Health Services, Sanford Medical Center Fargo and Sanford Mayville.

When was this NPI record last updated?

The NPPES record for Tara Simmonds was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.