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TARA D POOLE PA
NPI 1265249858
Physician Assistant in Clinton, MO

Active since December 17, 2024PECOS EnrolledAccepts Medicare Assignment
1602 N 2ND ST, CLINTON, MO 64735(660) 885-8171 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara D Poole Pa NPPES

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

TARA D POOLE PA (NPI 1265249858) is an individual physician assistant in Clinton, Missouri, licensed in Missouri (PENDING) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Golden Valley Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265249858
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTARA D POOLECredential: PA
Location Address1602 N 2ND STClinton, MO 64735-1192
Mailing Address1602 N 2nd StClinton, MO 64735-1192 · (660) 885-8171
Phone(660) 885-8171
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1265249858 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 MO · PENDING
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.
1602 N 2ND ST, Clinton, MO 64735
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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 D Poole Pa 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 ID3779008339
PECOS Enrollment IDI20250416003086
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.

Hospital Affiliations CMS Care Compare

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

Golden Valley Memorial Hospital

Acute Care Hospitals · Clinton, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260175
Location1600 N 2nd StClinton, MO 64735 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64735 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 20

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

EMILY KATHLEEN BAKER FNP
Nurse Practitioner (Family)
1602 N 2ND ST
CLINTON, MO 64735
Henry County (660) 885-8171
DR. BRENDAN BAGLEY M.D.
Family Medicine
1602 N 2ND ST
CLINTON, MO 64735
Henry County (660) 890-8465
ALICE C RUTTINGER DO
Internal Medicine
1602 N 2ND ST
CLINTON, MO 64735
Henry County (660) 885-8171
BRUCE G. BELLAMY M.D.
Family Medicine
1602 N 2ND ST
CLINTON, MO 64735
Henry County (660) 885-8171
EMILY BELLAMY PA
Physician Assistant (Medical)
1602 N 2ND ST
CLINTON, MO 64735
Henry County (660) 885-8171
MELONDY ANN BOWLAND LMSW
Social Worker
1602 N 2ND ST
CLINTON, MO 64735
Henry County (660) 890-7297
LAURA NOBLE FNP-BC
Nurse Practitioner (Family)
1602 N 2ND ST
CLINTON, MO 64735
Henry County (660) 885-8171
AFTEN ANDERSON MD
Pediatrics
1602 N 2ND ST
CLINTON, MO 64735
Henry County (660) 885-8171

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 Poole's NPI number?

The NPI number for Tara Poole is 1265249858. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Tara Poole located?

Tara Poole practices at 1602 N 2nd St, Clinton, MO 64735. The listed phone number is (660) 885-8171.

What is Tara Poole's specialty?

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

Is Tara Poole enrolled in Medicare?

Yes. Tara Poole 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 Poole accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Tara Poole 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 Poole affiliated with any hospitals?

According to CMS data, Tara Poole is affiliated with Golden Valley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tara Poole was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.