TARA KRISTIANSEN APRN
NPI 1902539463
Nurse Practitioner - Family in Sycamore, IL

Q: What is Tara Kristiansen's NPI number?

The NPI number for Tara Kristiansen is 1902539463. It was assigned to this individual provider in the NPPES registry on July 2, 2022.

Q: What is Tara Kristiansen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tara Kristiansen was last updated on July 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 02, 2022PECOS Enrolled

165 E PLANK RD, SYCAMORE, IL 60178(844) 599-3700 Get Directions Write a Review

NPPES record last updated: July 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tara Kristiansen Aprn NPPES

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

TARA KRISTIANSEN APRN (NPI 1902539463) is an individual family provider in Sycamore, Illinois, licensed in Illinois (209.025406) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902539463

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA KRISTIANSENCredential: APRN

Location Address165 E PLANK RDSycamore, IL 60178-8757

Mailing Address165 E Plank RdSycamore, IL 60178-8757 · (502) 551-7002

Phone(844) 599-3700

Sole ProprietorNo

Enumeration DateJuly 2, 2022

NPPES CertifiedJuly 2, 2022

✔ NPI 1902539463 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 IL · 209.025406

165 E PLANK RD, Sycamore, IL 60178

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Kristiansen Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60178 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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Other Providers at the Same Location NPPES 9

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

MRS. JESSICA R ANDERSON FNP-BC

Nurse Practitioner