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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TARA C. BROUSE PMHNP-BC
NPI 1518802420
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, NC

Active since April 20, 2026PECOS Enrolled
1340 WALTER REED RD STE 202, FAYETTEVILLE, NC 28304(910) 504-3506(910) 504-3507 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 26, 2026, May 6, 2026, Apr 20, 2026 (3 updates tracked since 2026).

About Tara C. Brouse Pmhnp-bc NPPES

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

TARA C. BROUSE PMHNP-BC (NPI 1518802420) is an individual psychiatric/mental health provider in Fayetteville, North Carolina, licensed in North Carolina (5024790) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pinehurst.

NPPES Registry Identity

NPI1518802420
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTARA C. BROUSECredential: PMHNP-BC
Location Address1340 WALTER REED RD STE 202Fayetteville, NC 28304-4451
Mailing Address764 Walnut Knoll LnCordova, TN 38018-3113 · (901) 756-5565 · Fax (901) 756-5564
Phone(910) 504-3506
Fax(910) 504-3507
Sole ProprietorNo
Enumeration DateApril 20, 2026
Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1518802420 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
License✔ Licensed in NC · 5024790
1340 WALTER REED RD STE 202, Fayetteville, NC 28304
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Secondary Practice Location 1

Location 170 Memorial DrPinehurst, NC 28374-8707 · Phone (910) 348-1192 · Fax (910) 348-1193

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara C. Brouse Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 11

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

DIANA PAOLA TORRADO CANTILLO LCSWA
Social Worker (Clinical)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Cumberland County (910) 504-3506
MS. PAMELA LYNN HERBIG WALL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Cumberland County (910) 504-3506
DERRICK BIELLER PA-C
Physician Assistant
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Cumberland County (910) 504-3506
MR. CHRISTOPHER CHARLES PRICE-CUNNINGHAM PA-C
Physician Assistant (Medical)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Cumberland County (910) 504-3506
MS. LISA ANN DEISCH PA-C
Physician Assistant
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Cumberland County (910) 504-3506
CHERYL H DODSON DNP, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Cumberland County (910) 504-3506
MYRANDA-LYNN MARIE BODY LCSW
Social Worker (Clinical)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Cumberland County (910) 504-3506
RECON NEUROLOGY & PSYCHIATRY
Psychiatry & Neurology (Neurology)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Cumberland County (910) 504-3506

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 Brouse's NPI number?

The NPI number for Tara Brouse is 1518802420. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Tara Brouse located?

Tara Brouse practices at 1340 Walter Reed Rd Ste 202, Fayetteville, NC 28304. The listed phone number is (910) 504-3506.

What is Tara Brouse's specialty?

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

Is Tara Brouse enrolled in Medicare?

Yes. Tara Brouse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Brouse was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.