TARA BROOKE CLARKE APRN
NPI 1679082754
Nurse Practitioner - Family in Bowling Green, KY

Q: What is Tara Clarke's NPI number?

The NPI number for Tara Clarke is 1679082754. It was assigned to this individual provider in the NPPES registry on September 21, 2017. The provider is also known as Tara Brooke Matson.

Q: What is Tara Clarke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tara Clarke was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 21, 2017PECOS Enrolled

225 NATCHEZ TRACE AVE, BOWLING GREEN, KY 42103(270) 783-3573(270) 783-4081 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2020, Sep 21, 2017 (2 updates tracked since 2017).

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About Tara Brooke Clarke Aprn NPPES

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

TARA BROOKE CLARKE APRN (NPI 1679082754) is an individual family provider in Bowling Green, Kentucky, licensed in Kentucky (3011723) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679082754

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA BROOKE CLARKECredential: APRN

Location Address225 NATCHEZ TRACE AVEBowling Green, KY 42103-7995

Mailing Address225 Natchez Trace AveBowling Green, KY 42103-7995 · (270) 783-3573 · Fax (270) 783-4081

Phone(270) 783-3573

Fax(270) 783-4081

Sole ProprietorNo

Enumeration DateSeptember 21, 2017

Last NPPES UpdateJanuary 27, 20202 updates tracked since enumeration

✔ NPI 1679082754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3011723

225 NATCHEZ TRACE AVE, Bowling Green, KY 42103

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Other Names 1

Former Name (1)Tara Brooke Matson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Brooke Clarke Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Tara Clarke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bowling Green Warren County Primary Care Center, Inc.

2.6 mi

Federally Qualified Health Center (FQHC)

225 NATCHEZ TRACE AVENUE
Bowling Green, KY 42103

Reassigned Medicare billing, Kentucky enrollment
15 clinicians in this Medicare group

NPI 1336268234 (270) 783-3573

Norton Children's Medical Group, LLC

103 mi

Clinical Genetics (M.D.)

4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: Norton Childrens Medical Group LLC
1,008 clinicians in this Medicare group

NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42103 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 12

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

MACKENZIE CAREY

Nurse Practitioner