TARA R WADLOW FNP
NPI 1346641115
Nurse Practitioner - Family in Farmington, MO

Q: What is Tara Wadlow's NPI number?

The NPI number for Tara Wadlow is 1346641115. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Q: What is Tara Wadlow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Wadlow was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 11, 2014PECOS EnrolledAccepts Medicare Assignment

1103 W LIBERTY ST, FARMINGTON, MO 63640(573) 756-6751(573) 756-6807 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tara R Wadlow Fnp NPPES

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

TARA R WADLOW FNP (NPI 1346641115) is an individual family provider in Farmington, Missouri, licensed in Missouri (2014027283) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1346641115

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA R WADLOWCredential: FNP

Location Address1103 W LIBERTY STFarmington, MO 63640-1921

Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (573) 756-6751 · Fax (573) 756-6807

Phone(573) 756-6751

Fax(573) 756-6807

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 11, 2014

Last NPPES UpdateMarch 29, 2021

NPPES CertifiedMarch 29, 2021

✔ NPI 1346641115 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

License✔ Licensed in MO · 2014027283

1103 W LIBERTY ST, Farmington, MO 63640

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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 and accepts Medicare assignment

Tara R Wadlow 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 ID1850512419

PECOS Enrollment IDI20141023001060

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 63640 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

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 20

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

DR. THOMAS J KIRISITS DPM

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