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TARA LYNN LIVINGSTON FPA APRN
NPI 1417509407
Nurse Practitioner - Psychiatric/Mental Health in Peoria, IL

Active since July 10, 2019PECOS EnrolledAccepts Medicare Assignment
5901 N PROSPECT RD STE 202, PEORIA, IL 61614(888) 428-7890(877) 428-7891 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2022, Jul 10, 2019 (2 updates tracked since 2019).

About Tara Lynn Livingston Fpa Aprn NPPES

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

TARA LYNN LIVINGSTON FPA APRN (NPI 1417509407) is an individual psychiatric/mental health provider in Peoria, Illinois, licensed in Illinois (277002042) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Galesburg, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417509407
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTARA LYNN LIVINGSTONCredential: FPA APRN
Location Address5901 N PROSPECT RD STE 202Peoria, IL 61614-4358
Mailing Address5901 N Prospect Rd Ste 202Peoria, IL 61614-4358 · (877) 794-3812 · Fax (877) 428-7891
Phone(888) 428-7890
Fax(877) 428-7891
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 10, 2019
Last NPPES UpdateJuly 13, 20222 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
✔ NPI 1417509407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in IL · 277002042✔ Licensed in IL · 377001970
5901 N PROSPECT RD STE 202, Peoria, IL 61614
Open in Google Maps ↗

Other Names 1

Former Name (1)Tara Scott, Palazzo Apn

Secondary Practice Location 1

Location 13315 N Seminary StGalesburg, IL 61401-1251 · Phone (309) 344-1000 · Fax (309) 344-2405

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 Lynn Livingston Fpa Aprn 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 ID5597093989
PECOS Enrollment IDI20190822003498
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 61614 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 $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 9

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

DR. JIE JIAO PH.D.
Psychologist (Clinical)
5901 N PROSPECT RD STE 202
PEORIA, IL 61614
Peoria County (888) 428-7890
ALEXANDRA JOELLE PALMER
Counselor (Mental Health)
5901 N PROSPECT RD STE 202
PEORIA, IL 61614
Peoria County (888) 428-7890
NATASHA NICOLE ALLEN LCPC
Counselor (Mental Health)
5901 N PROSPECT RD STE 202
PEORIA, IL 61614
Peoria County (888) 428-7890
JENNIFER REBECCA TAYLOR LPC, LCPC
Counselor (Professional)
5901 N PROSPECT RD STE 202
PEORIA, IL 61614
Peoria County (309) 490-3060
MRS. ANNA LISZKA
Counselor (Mental Health)
5901 N PROSPECT RD STE 202
PEORIA, IL 61614
Peoria County (888) 428-7890
BROOKE POLING LCPC
Counselor (Professional)
5901 N PROSPECT RD STE 202
PEORIA, IL 61614
Peoria County (888) 428-7890
BRYANA LYNN PAYNE LCPC
Counselor (Professional)
5901 N PROSPECT RD STE 202
PEORIA, IL 61614
Peoria County (309) 834-1780
KAREN LESLIE GILMORE LCSW
Social Worker (Clinical)
5901 N PROSPECT RD STE 202
PEORIA, IL 61614
Peoria County (888) 428-7890

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 Livingston's NPI number?

The NPI number for Tara Livingston is 1417509407. It was assigned to this individual provider in the NPPES registry on July 10, 2019. The provider is also known as Tara Scott, Palazzo Apn.

Where is Tara Livingston located?

Tara Livingston practices at 5901 N Prospect Rd Ste 202, Peoria, IL 61614. The listed phone number is (888) 428-7890.

What is Tara Livingston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tara Livingston enrolled in Medicare?

Yes. Tara Livingston 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.

When was this NPI record last updated?

The NPPES record for Tara Livingston was last updated on July 13, 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.