TARA SUZANNE HILMES NP
NPI 1275064768
Nurse Practitioner in Maryville, IL

Active since March 25, 2017PECOS EnrolledAccepts Medicare Assignment
74.42/100
CMS Quality Rating
6800 STATE ROUTE 162, MARYVILLE, IL 62062(618) 288-5711 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2022, Dec 28, 2021, Jul 30, 2018 and 1 more (4 updates tracked since 2017).

About Tara Suzanne Hilmes Np NPPES

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

TARA SUZANNE HILMES NP (NPI 1275064768) is an individual nurse practitioner in Maryville, Illinois, licensed in Illinois (209017451) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1275064768
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTARA SUZANNE HILMESCredential: NP
Location Address6800 STATE ROUTE 162Maryville, IL 62062
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 25, 2017
Last NPPES UpdateFebruary 18, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2022
NPI 1275064768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209017451
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.
6800 STATE ROUTE 162, Maryville, IL 62062

Secondary Practice Locations 6

Location 117 Ginger Creek MdwsGlen Carbon, IL 62034-3508 · Phone (618) 656-9777 · Fax (618) 656-1249
Location 21103 Belt Line RdCollinsville, IL 62234-4368 · Phone (618) 344-2273 · Fax (618) 344-3034
Location 3108 W US Highway 40Troy, IL 62294-1836 · Phone (618) 667-1800 · Fax (618) 667-1802
Location 4159 E McArthur DrBethalto, IL 62010-1918 · Phone (618) 258-7504 · Fax (618) 258-7542
Location 5201 Health Care DrGreenville, IL 62246-1155 · Phone (618) 664-1380
Location 6255 Hickory RdPocahontas, IL 62275-3232 · Phone (618) 980-4024

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 Suzanne Hilmes Np 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 ID1951665827
PECOS Enrollment IDI20180430001593
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
134 services129 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

74.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.31
Promoting Interoperability85
Improvement Activities40
Cost56.92

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.

Dietitian, Registered
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Physical Therapist
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Radiology (Diagnostic Radiology)
6800 STATE ROUTE 162, ANDERSON HOSPITAL, DEPT. OF RADIOLOGY
MARYVILLE, IL 62062
Registered Nurse
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Hospitalist
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Pediatrics
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Hospitalist
6800 STATE ROUTE 162
MARYVILLE, IL 62062
Radiology (Diagnostic Radiology)
6800 STATE ROUTE 162, ANDERSON HOSPITAL DEPT OF RADIOLOGY
MARYVILLE, IL 62062

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 Hilmes's NPI number?

The NPI number for Tara Hilmes is 1275064768. It was assigned to this individual provider in the NPPES registry on March 25, 2017.

Where is Tara Hilmes located?

Tara Hilmes practices at 6800 State Route 162, Maryville, IL 62062. The listed phone number is (618) 288-5711.

What is Tara Hilmes's specialty?

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

Is Tara Hilmes enrolled in Medicare?

Yes. Tara Hilmes 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.

Is Tara Hilmes affiliated with any hospitals?

According to CMS data, Tara Hilmes is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Tara Hilmes was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.