TARA JOHNSON
NPI 1578916508
Nurse Practitioner - Family in Bradenton, FL
About Tara Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA JOHNSON (NPI 1578916508) is an individual family provider in Bradenton, Florida, licensed in Florida (ARNP9371213) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
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 and accepts Medicare assignment
Tara Johnson 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 Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sarasota, FL 34237
- Reassigned Medicare billing, Florida enrollment
- 18 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34202 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.
Reported Quality Measures
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.
BRADENTON, FL 34202
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 1578916508. It was assigned to this individual provider in the NPPES registry on July 14, 2016.
Where is Tara Johnson located?
Tara Johnson practices at 5860 Ranch Lake Blvd Suite 200, Bradenton, FL 34202. The listed phone number is (941) 388-8997.
What is Tara Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
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.
Which organization bills Medicare for Tara Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Johnson reassigns Medicare benefits to Shadrick Kralik MD PA (Sarasota, FL). 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 Johnson'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 Johnson was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 Johnson · NPI 1578916508
Family physician in Bradenton, Florida. Individual provider, active in the CMS NPPES registry since July 14, 2016.
## Identity
- **NPI:** 1578916508 (Entity type: Individual)
- **Enumerated:** July 14, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** ARNP9371213 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 5860 RANCH LAKE BLVD, SUITE 200, Bradenton, FL 34202-3718
- **Phone:** (941) 388-8997
## 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:** Shadrick Kralik MD PA (NPI 1912593203, Sarasota, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1578916508) · Data from the CMS NPPES public registry.