TARA WULFF BOLKA FNP-C
NPI 1558894329
Nurse Practitioner - Family in La Grande, OR
About Tara Wulff Bolka Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA WULFF BOLKA FNP-C (NPI 1558894329) is an individual family provider in La Grande, Oregon, licensed in Oregon (201910351NP-PP) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
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 Wulff Bolka Fnp-c 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.
Medicare Billing Reassignments
7Medicare enrollment records show Tara Bolka reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Metairie, LA 70001
- Reassigned Medicare billing, Louisiana enrollment
- 114 clinicians in this Medicare group
New Orleans, LA 70118
- Reassigned Medicare billing, Louisiana enrollment
- 220 clinicians in this Medicare group
New Orleans, LA 70115
- Reassigned Medicare billing, Louisiana enrollment
- 112 clinicians in this Medicare group
Chalmette, LA 70043
- Reassigned Medicare billing, Louisiana enrollment
- 82 clinicians in this Medicare group
Centre, AL 35960
- Reassigned Medicare billing, Alabama enrollment
- 276 clinicians in this Medicare group
Grove Hill, AL 36451
- Reassigned Medicare billing, Alabama enrollment
- 17 clinicians in this Medicare group
Mobile, AL 36608
- Reassigned Medicare billing, Alabama enrollment
- 72 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
East Jefferson General Hospital
Acute Care Hospitals · Metairie, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
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 Bolka's NPI number?
The NPI number for Tara Bolka is 1558894329. It was assigned to this individual provider in the NPPES registry on April 7, 2017. The provider is also known as Tara Palmer.
Where is Tara Bolka located?
Tara Bolka practices at 506 4th St, La Grande, OR 97850. The listed phone number is (541) 663-3138.
What is Tara Bolka's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tara Bolka enrolled in Medicare?
Yes. Tara Bolka 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.
Which organizations bill Medicare for Tara Bolka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Bolka reassigns Medicare benefits to 7 organizations: Independence Emergency Group LLC (Metairie, LA), Children's Hospital (New Orleans, LA), Foucher Emergency Group LLC (New Orleans, LA), St. Bernard Emergency Group, LLC (Chalmette, LA), Rural Urgent Care LLC (Centre, AL) and 2 more organizations, listed in the Medicare section above. Each 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 Bolka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Bolka accept?
Health plans from CHRISTUS Health Plan, HMO Louisiana and Moda Health Plan, Inc. list Tara Bolka 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 Bolka affiliated with any hospitals?
According to CMS data, Tara Bolka is affiliated with East Jefferson General Hospital.
When was this NPI record last updated?
The NPPES record for Tara Bolka was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Wulff Bolka, FNP-C · NPI 1558894329
Family physician in La Grande, Oregon. Individual provider, active in the CMS NPPES registry since April 7, 2017.
## Identity
- **NPI:** 1558894329 (Entity type: Individual)
- **Enumerated:** April 7, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201910351NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 506 4TH ST, La Grande, OR 97850-1906
- **Phone:** (541) 663-3138 · **Fax:** (541) 975-5120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Independence Emergency Group LLC (NPI 1528384773, Metairie, LA); Children's Hospital (NPI 1043230873, New Orleans, LA); Foucher Emergency Group LLC (NPI 1871879007, New Orleans, LA); St. Bernard Emergency Group, LLC (NPI 1306386685, Chalmette, LA); Rural Urgent Care LLC (NPI 1932586476, Centre, AL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 6, 2024
- **Other identifiers:** Medicaid 500773203 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1558894329) · Data from the CMS NPPES public registry.