TARA ROSE AGEE
NPI 1366315541
Nurse Practitioner - Psychiatric/Mental Health in Salt Lake City, UT
About Tara Rose Agee NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA ROSE AGEE (NPI 1366315541) is an individual psychiatric/mental health provider in Salt Lake City, Utah, licensed in Utah (0000000) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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 Rose Agee 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.
Medicare Billing Reassignment
Medicare enrollment records show Tara Agee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Midvale, UT 84047
- Reassigned Medicare billing, Utah enrollment
- 6 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84148
SALT LAKE CITY, UT 84148
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 Agee's NPI number?
The NPI number for Tara Agee is 1366315541. It was assigned to this individual provider in the NPPES registry on September 24, 2025.
Where is Tara Agee located?
Tara Agee practices at 500 Foothill Blvd, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.
What is Tara Agee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Tara Agee enrolled in Medicare?
Yes. Tara Agee 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 organization bills Medicare for Tara Agee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Agee reassigns Medicare benefits to Mindful Mobile Medicine LLC (Midvale, UT). The 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 Agee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Agee accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Tara Agee 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.
When was this NPI record last updated?
The NPPES record for Tara Agee was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Tara Rose Agee · NPI 1366315541
Psychiatric/Mental Health physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since September 24, 2025.
## Identity
- **NPI:** 1366315541 (Entity type: Individual)
- **Enumerated:** September 24, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0000000 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 FOOTHILL BLVD, Salt Lake City, UT 84148-0002
- **Phone:** (801) 582-1565
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mindful Mobile Medicine LLC (NPI 1245068626, Midvale, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366315541) · Data from the CMS NPPES public registry.