TARA TOPPER FNP-C
NPI 1649660200
Nurse Practitioner - Family in O Fallon, IL

Active since February 03, 2015PECOS EnrolledAccepts Medicare Assignment
74.42/100
CMS Quality Rating
1512 N GREEN MOUNT RD, O FALLON, IL 62269(619) 624-3368 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2022, Apr 27, 2018 (2 updates tracked since 2018).

About Tara Topper Fnp-c NPPES

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

TARA TOPPER FNP-C (NPI 1649660200) is an individual family provider in O Fallon, Illinois, licensed in Illinois (209012540) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1649660200
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA TOPPERCredential: FNP-C
Location Address1512 N GREEN MOUNT RDO Fallon, IL 62269-1953
Mailing Address6810 State Route 162 Ste 215Maryville, IL 62062-8566 · (618) 391-6410
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 3, 2015
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
✔ NPI 1649660200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209012540
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209012540 (IL)
1512 N GREEN MOUNT RD, O Fallon, IL 62269

Secondary Practice Locations 4

Location 117 Ginger Creek MdwsGlen Carbon, IL 62034-3508 · Phone (618) 656-9777 · Fax (618) 656-1249
Location 21103 Belt Line RdCollinsville, IL 62234-4368 · Phone (618) 344-2273 · Fax (618) 344-3034
Location 3159 E McArthur DrBethalto, IL 62010-1918 · Phone (618) 258-7504 · Fax (618) 258-7542
Location 4108 W US Highway 40Troy, IL 62294-1836 · Phone (618) 667-1800 · Fax (618) 667-1802

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 Topper 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.

PECOS PAC ID7618297482
PECOS Enrollment IDI20150519000024
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Tara Topper reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
4500 MEMORIAL DR
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 111 clinicians in this Medicare group
General Practice
6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 145 clinicians in this Medicare group
Emergency Medicine
6800 IL 162
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 124 clinicians in this Medicare group
Emergency Medicine
400 N CALDWELL ST
Staunton, IL 62088
  • Reassigned Medicare billing, Illinois enrollment
  • 121 clinicians in this Medicare group
Emergency Medicine
400 NORTH PLEASANT AVENUE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • 69 clinicians in this Medicare group
Emergency Medicine
605 N 12TH ST
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 81 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
137 services128 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
45 services45 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

74.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.31
Promoting Interoperability85
Improvement Activities40
Cost56.92

Other Providers at the Same Location NPPES 18

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

Clinic/Center
1512 N GREEN MOUNT RD, SUITE 200
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O FALLON, IL 62269
Internal Medicine
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Family Medicine
1512 N GREEN MOUNT RD, SUITE 108
O'FALLON, IL 62269
Emergency Medicine
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Clinic/Center (Urgent Care)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Nurse Practitioner (Family)
1512 N GREEN MOUNT RD
O FALLON, IL 62269
Clinic/Center (Magnetic Resonance Imaging (MRI))
1512 N GREEN MOUNT RD
O FALLON, IL 62269

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 Topper's NPI number?

The NPI number for Tara Topper is 1649660200. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Where is Tara Topper located?

Tara Topper practices at 1512 N Green Mount Rd, O Fallon, IL 62269. The listed phone number is (619) 624-3368.

What is Tara Topper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tara Topper enrolled in Medicare?

Yes. Tara Topper 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 Topper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Topper reassigns Medicare benefits to 6 organizations: Emergency Services Midwest Sc (Belleville, IL), Anderson Medical Group, LLC (Maryville, IL), Midwest Inpatient Anderson Health, Inc (Maryville, IL), Midwest Emergency Anderson Health, Inc (Staunton, IL), Midwest Emergency Centralia Campus Associates, Inc (Centralia, IL) and 1 more organization, 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 Topper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Topper accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Tara Topper 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 Topper affiliated with any hospitals?

According to CMS data, Tara Topper is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Tara Topper was last updated on January 3, 2022. 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.