TARA LYNN BOLERJACK APRN
NPI 1689281057
Nurse Practitioner - Family in Norman, OK
About Tara Lynn Bolerjack Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA LYNN BOLERJACK APRN (NPI 1689281057) is an individual family provider in Norman, Oklahoma, licensed in Oklahoma (119548) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of Other (2020).
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 Lynn Bolerjack Aprn 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 Bolerjack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73120
- Reassigned Medicare billing, Oklahoma enrollment
- 975 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 11
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Norman Regional
Acute Care Hospitals · Norman, OKMercy Hospital Oklahoma City, Inc
Acute Care Hospitals · Oklahoma City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
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 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 Bolerjack's NPI number?
The NPI number for Tara Bolerjack is 1689281057. It was assigned to this individual provider in the NPPES registry on September 29, 2020.
Where is Tara Bolerjack located?
Tara Bolerjack practices at 950 N Porter Ave Ste 300, Norman, OK 73071. The listed phone number is (405) 329-0121.
What is Tara Bolerjack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tara Bolerjack enrolled in Medicare?
Yes. Tara Bolerjack 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 Bolerjack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Bolerjack reassigns Medicare benefits to Mercy Clinic Oklahoma Communities (Oklahoma City, OK). 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 Bolerjack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Bolerjack accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Tara Bolerjack 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 Bolerjack affiliated with any hospitals?
According to CMS data, Tara Bolerjack is affiliated with Norman Regional and Mercy Hospital Oklahoma City, Inc.
When was this NPI record last updated?
The NPPES record for Tara Bolerjack was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 Lynn Bolerjack, APRN · NPI 1689281057
Family physician in Norman, Oklahoma. Individual provider, active in the CMS NPPES registry since September 29, 2020.
## Identity
- **NPI:** 1689281057 (Entity type: Individual)
- **Enumerated:** September 29, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 119548 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 950 N PORTER AVE STE 300, Norman, OK 73071-6400
- **Phone:** (405) 329-0121
## 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:** Mercy Clinic Oklahoma Communities (NPI 1386874550, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689281057) · Data from the CMS NPPES public registry.