TARA LADAWN PHILLIPS FNP-C
NPI 1801378641
Nurse Practitioner - Family in Wake Village, TX

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment
4701 W 7TH ST, WAKE VILLAGE, TX 75501(903) 831-4065(903) 831-4075 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Jun 5, 2020, Aug 29, 2018 (3 updates tracked since 2018).

About Tara Ladawn Phillips Fnp-c NPPES

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

TARA LADAWN PHILLIPS FNP-C (NPI 1801378641) is an individual family provider in Wake Village, Texas, licensed in Texas (1052397) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Mccurtain Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801378641
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA LADAWN PHILLIPSCredential: FNP-C
Location Address4701 W 7TH STWake Village, TX 75501-6255
Mailing Address3515 Richmond RdTexarkana, TX 75503-0711 · (903) 791-9355 · Fax (903) 793-0496
Fax(903) 831-4075
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 29, 2018
Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1801378641 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
Licenses Licensed in TX · 1052397 Licensed in AR · 225755 Licensed in OK · R0113302
4701 W 7TH ST, Wake Village, TX 75501

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 Ladawn Phillips 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 ID5395190177
PECOS Enrollment IDI20231013002442, I20240304001389, I20250417001429
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.

Areas of Expertise CMS Part B claims 10

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.

Fluorescence wound imaging for bacteria, first anatomic site 0598T
Fluorescence wound imaging for bacteria is a non-invasive procedure that helps identify bacteria in a wound. A special device emits a safe, light glow onto the wound. This light causes bacteria to fluoresce, or shine, making them visible. It aids in targeted treatment planning.
325 services57 patients
Therapy procedure using ultrasound 97610
Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.
298 services26 patients
Fluorescence wound imaging for bacteria, each additional anatomic site 0599T
Fluorescence wound imaging for bacteria is a procedure that uses special light to detect harmful bacteria in wounds. When used on additional body areas, it helps to ensure no bacteria are missed, promoting better wound healing.
91 services21 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
85 services40 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
67 services25 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
46 services17 patients

Hospital Affiliations CMS Care Compare

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

Mccurtain Memorial Hospital

Critical Access Hospitals · Idabel, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number371342
Location1301 Lincoln RoadIdabel, OK 74745 · Mccurtain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75501 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

Family Medicine
4701 W 7TH ST
WAKE VILLAGE, TX 75501

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 Phillips's NPI number?

The NPI number for Tara Phillips is 1801378641. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Tara Phillips located?

Tara Phillips practices at 4701 W 7th St, Wake Village, TX 75501. The listed phone number is (903) 831-4065.

What is Tara Phillips's specialty?

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

Is Tara Phillips enrolled in Medicare?

Yes. Tara Phillips 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 Phillips accept?

Health plans from Blue Cross and Blue Shield of Texas list Tara Phillips 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 Phillips affiliated with any hospitals?

According to CMS data, Tara Phillips is affiliated with Mccurtain Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tara Phillips was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.