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

Q: 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.

Q: 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.

Q: 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.

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: October 25, 2026.

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

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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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Tara Livingston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgewood Clinical Services, P.C.

98 mi

Psychologist

2948 ARTESIAN RD STE 112
Naperville, IL 60564

Reassigned Medicare billing, Illinois enrollment
475 clinicians in this Medicare group

NPI 1295914646 (630) 428-7890

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 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)