TARA HELFRICH NP
NPI 1568849818
Nurse Practitioner in Fairview Heights, IL
About Tara Helfrich Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA HELFRICH NP (NPI 1568849818) is an individual nurse practitioner in Fairview Heights, Illinois, licensed in Illinois (209012763) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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 Helfrich Np 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 Reassignment
Medicare enrollment records show Tara Helfrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pana, IL 62557
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Hshs Medical Group Inc
- 317 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 4
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Johns Hospital
Acute Care Hospitals · Springfield, ILSt Josephs Hospital
Acute Care Hospitals · Breese, ILHshs St Elizabeth's Hospital
Acute Care Hospitals · O Fallon, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62208 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.
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 Helfrich's NPI number?
The NPI number for Tara Helfrich is 1568849818. It was assigned to this individual provider in the NPPES registry on May 6, 2015.
Where is Tara Helfrich located?
Tara Helfrich practices at 5 Ludwig Dr, Fairview Heights, IL 62208. The listed phone number is (618) 397-9000.
What is Tara Helfrich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tara Helfrich enrolled in Medicare?
Yes. Tara Helfrich 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 organization bills Medicare for Tara Helfrich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Helfrich reassigns Medicare benefits to Sjl Health Systems Inc (Pana, 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 Helfrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Helfrich accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Medica and UnitedHealthcare list Tara Helfrich 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 Helfrich affiliated with any hospitals?
According to CMS data, Tara Helfrich is affiliated with St Johns Hospital, St Josephs Hospital and Hshs St Elizabeth's Hospital.
When was this NPI record last updated?
The NPPES record for Tara Helfrich was last updated on December 30, 2021. 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.
# Tara Helfrich, NP · NPI 1568849818
Nurse Practitioner physician in Fairview Heights, Illinois. Individual provider, active in the CMS NPPES registry since May 6, 2015.
## Identity
- **NPI:** 1568849818 (Entity type: Individual)
- **Enumerated:** May 6, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209012763 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5 LUDWIG DR, Fairview Heights, IL 62208-1332
- **Phone:** (618) 397-9000
## 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:** Sjl Health Systems Inc (NPI 1215037353, Pana, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** December 30, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1568849818) · Data from the CMS NPPES public registry.