TARA STARK
NPI 1538685474
Speech-Language Pathologist in Quincy, IL
About Tara Stark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA STARK (NPI 1538685474) is an individual speech-language pathologist provider in Quincy, Illinois, licensed in Illinois (146011310) and active in the NPI registry since August 2017.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tara Stark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tara Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Quincy, IL 62301
- Reassigned Medicare billing, Illinois enrollment
- 252 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stark's NPI number?
The NPI number for Tara Stark is 1538685474. It was assigned to this individual provider in the NPPES registry on August 22, 2017.
Where is Tara Stark located?
Tara Stark practices at 1416 Maine St, Quincy, IL 62301. The listed phone number is (217) 223-8700.
What is Tara Stark's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Tara Stark enrolled in Medicare?
Yes. Tara Stark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tara Stark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Stark reassigns Medicare benefits to Quincy Physicians & Surgeons Clinic, PLLC (Quincy, IL). 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 Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tara Stark was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Tara Stark · NPI 1538685474
Speech-Language Pathologist provider in Quincy, Illinois. Individual provider, active in the CMS NPPES registry since August 22, 2017.
## Identity
- **NPI:** 1538685474 (Entity type: Individual)
- **Enumerated:** August 22, 2017
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 146011310 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1416 MAINE ST, Quincy, IL 62301-4261
- **Phone:** (217) 223-8700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Quincy Physicians & Surgeons Clinic, PLLC (NPI 1548234198, Quincy, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1538685474) · Data from the CMS NPPES public registry.