TARA RENEE BLACKSHEAR
NPI 1881199396
Nurse Practitioner - Family in Jacksonville, FL

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-7118 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2023, Mar 27, 2018 (2 updates tracked since 2018).

About Tara Renee Blackshear NPPES

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

TARA RENEE BLACKSHEAR (NPI 1881199396) is an individual family provider in Jacksonville, Florida, licensed in Florida (9342671) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1881199396
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA RENEE BLACKSHEAR
Location Address655 W 8TH STJacksonville, FL 32209-6511
Mailing Address450077 State Road 200 Ste 12Callahan, FL 32011-3863 · (904) 633-0560
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 27, 2018
Last NPPES UpdateApril 4, 20232 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
NPI 1881199396 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 FL · 9342671
655 W 8TH ST, Jacksonville, FL 32209

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 Renee Blackshear 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 ID7214292895
PECOS Enrollment IDI20180531002699
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 6

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
97 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
44 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services26 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
21 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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.

Anesthesiology
655 W 8TH ST
JACKSONVILLE, FL 32209
Pediatrics (Neonatal-Perinatal Medicine)
655 W 8TH ST
JACKSONVILLE, FL 32209
Physical Therapist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
655 W 8TH ST
JACKSONVILLE, FL 32209

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 Blackshear's NPI number?

The NPI number for Tara Blackshear is 1881199396. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Tara Blackshear located?

Tara Blackshear practices at 655 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 244-7118.

What is Tara Blackshear's specialty?

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

Is Tara Blackshear enrolled in Medicare?

Yes. Tara Blackshear 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 Blackshear accept?

Health plans from AvMed list Tara Blackshear 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 Blackshear affiliated with any hospitals?

According to CMS data, Tara Blackshear is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Tara Blackshear was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.