TARA COLE NIKODEM PA-C
NPI 1720322654
Physician Assistant - Surgical in Naperville, IL

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1948 THREE FARMS AVE, NAPERVILLE, IL 60540(630) 355-5633 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Apr 20, 2022 (2 updates tracked since 2022).

About Tara Cole Nikodem Pa-c NPPES

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

TARA COLE NIKODEM PA-C (NPI 1720322654) is an individual surgical provider in Naperville, Illinois, licensed in Illinois (085004540) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1720322654
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameTARA COLE NIKODEMCredential: PA-C
Location Address1948 THREE FARMS AVENaperville, IL 60540-1105
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 982-3363
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 15, 2012
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1720322654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in IL · 085004540
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085.004540 (IL)
1948 THREE FARMS AVE, Naperville, IL 60540

Secondary Practice Location 1

Location 1211 E Ontario St, Suite 200Chicago, IL 60611-3468 · Phone (312) 694-7000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tara Cole Nikodem Pa-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 ID8022255595
PECOS Enrollment IDI20130501000289
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.

Hospital Affiliations CMS Care Compare

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

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Surgical)
1948 THREE FARMS AVE
NAPERVILLE, IL 60540
Otolaryngology
1948 THREE FARMS AVE
NAPERVILLE, IL 60540
Colon & Rectal Surgery
1948 THREE FARMS AVE
NAPERVILLE, IL 60540
Surgery
1948 THREE FARMS AVE
NAPERVILLE, IL 60540
Surgery
1948 THREE FARMS AVE
NAPERVILLE, IL 60540
Physician Assistant (Surgical)
1948 THREE FARMS AVE
NAPERVILLE, IL 60540
Family Medicine
1948 THREE FARMS AVE
NAPERVILLE, IL 60540
Physician Assistant (Surgical)
1948 THREE FARMS AVE
NAPERVILLE, IL 60540

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 Nikodem's NPI number?

The NPI number for Tara Nikodem is 1720322654. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Tara Nikodem located?

Tara Nikodem practices at 1948 Three Farms Ave, Naperville, IL 60540. The listed phone number is (630) 355-5633.

What is Tara Nikodem's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Tara Nikodem enrolled in Medicare?

Yes. Tara Nikodem 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.

What insurance does Tara Nikodem accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Tara Nikodem 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 Nikodem affiliated with any hospitals?

According to CMS data, Tara Nikodem is affiliated with Edward Hospital.

When was this NPI record last updated?

The NPPES record for Tara Nikodem was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.