TARA K JOHNSON APRN, CNP
NPI 1497470793
Nurse Practitioner in Park Ridge, IL

Active since October 10, 2022PECOS EnrolledAccepts Medicare Assignment
1700 LUTHER LN STE 1220, PARK RIDGE, IL 60068(847) 723-4400 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2024, Jun 12, 2024, Jan 31, 2023 and 1 more (4 updates tracked since 2022).

About Tara K Johnson Aprn, Cnp NPPES

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

TARA K JOHNSON APRN, CNP (NPI 1497470793) is an individual nurse practitioner in Park Ridge, Illinois, licensed in Illinois (209025363) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497470793
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTARA K JOHNSONCredential: APRN, CNP
Location Address1700 LUTHER LN STE 1220Park Ridge, IL 60068-1270
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 359-5900
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 10, 2022
Last NPPES UpdateNovember 8, 20244 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
NPI 1497470793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209025363
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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209025363 (IL)
1700 LUTHER LN STE 1220, Park Ridge, IL 60068

Secondary Practice Locations 2

Location 1675 N Saint Clair St Ste 21-100Chicago, IL 60611-5970 · Phone (312) 695-0990 · Fax (312) 695-1106
Location 24440 W 95th St Fl 8Oak Lawn, IL 60453-2600 · Phone (708) 684-4200

Accepted Insurance

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 K Johnson Aprn, Cnp 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 ID8921478132
PECOS Enrollment IDI20230104003050
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.

Hospital Affiliations CMS Care Compare 2

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

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 5

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

Nurse Practitioner
1700 LUTHER LN STE 1220
PARK RIDGE, IL 60068
Nurse Practitioner
1700 LUTHER LN STE 1220
PARK RIDGE, IL 60068
Surgery
1700 LUTHER LN STE 1220
PARK RIDGE, IL 60068
Nurse Practitioner
1700 LUTHER LN STE 1220
PARK RIDGE, IL 60068
Internal Medicine (Hematology)
1700 LUTHER LN STE 1220
PARK RIDGE, IL 60068

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 Johnson's NPI number?

The NPI number for Tara Johnson is 1497470793. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Tara Johnson located?

Tara Johnson practices at 1700 Luther Ln Ste 1220, Park Ridge, IL 60068. The listed phone number is (847) 723-4400.

What is Tara Johnson's specialty?

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

Is Tara Johnson enrolled in Medicare?

Yes. Tara Johnson 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.

What insurance does Tara Johnson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Tara Johnson 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.

Is Tara Johnson affiliated with any hospitals?

According to CMS data, Tara Johnson is affiliated with Advocate Illinois Masonic Medical Center and Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Tara Johnson was last updated on November 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.