TARA R HENTHORN
NPI 1811530603
Nurse Practitioner - Family in Chickasha, OK
About Tara R Henthorn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA R HENTHORN (NPI 1811530603) is an individual family provider in Chickasha, Oklahoma, licensed in Oklahoma (102945) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
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 R Henthorn 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 Reassignments
4Medicare enrollment records show Tara Henthorn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73127
- Reassigned Medicare billing, Texas enrollment
- 86 clinicians in this Medicare group
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 249 clinicians in this Medicare group
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 171 clinicians in this Medicare group
Tulsa, OK 74129
- Reassigned Medicare billing, Oklahoma enrollment
- 104 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 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICKASHA, OK 73018
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 Henthorn's NPI number?
The NPI number for Tara Henthorn is 1811530603. It was assigned to this individual provider in the NPPES registry on October 24, 2019.
Where is Tara Henthorn located?
Tara Henthorn practices at 411 W Grand Ave, Chickasha, OK 73018. The listed phone number is (405) 224-0053.
What is Tara Henthorn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tara Henthorn enrolled in Medicare?
Yes. Tara Henthorn 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 Henthorn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Henthorn reassigns Medicare benefits to 4 organizations: Central Oklahoma American Indian Health Council, Inc. (Oklahoma City, OK), Williams Medical Group Practice, LLC (Lawton, OK), Medical Resource Management, LLC (Edmond, OK) and Tulsa Emergency Medical Center Inc (Tulsa, OK). 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 Henthorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Henthorn accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Tara Henthorn 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.
When was this NPI record last updated?
The NPPES record for Tara Henthorn was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tara R Henthorn · NPI 1811530603
Family physician in Chickasha, Oklahoma. Individual provider, active in the CMS NPPES registry since October 24, 2019.
## Identity
- **NPI:** 1811530603 (Entity type: Individual)
- **Enumerated:** October 24, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 102945 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 411 W GRAND AVE, Chickasha, OK 73018-5862
- **Phone:** (405) 224-0053
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Central Oklahoma American Indian Health Council, Inc. (NPI 1407969728, Oklahoma City, OK); Williams Medical Group Practice, LLC (NPI 1346608809, Lawton, OK); Medical Resource Management, LLC (NPI 1104056365, Edmond, OK); Tulsa Emergency Medical Center Inc (NPI 1063479087, Tulsa, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1811530603) · Data from the CMS NPPES public registry.