TAMARRA LYNN SUBYANTORO APN
NPI 1942842018
Nurse Practitioner - Family in Peoria, IL

Q: What is Tamarra Subyantoro's NPI number?

The NPI number for Tamarra Subyantoro is 1942842018. It was assigned to this individual provider in the NPPES registry on October 10, 2019. The provider is also known as Tamarra Lamprecht.

Q: What is Tamarra Subyantoro's specialty?

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

Active since October 10, 2019PECOS EnrolledAccepts Medicare Assignment

5114 N GLEN PARK PLACE RD STE 110, PEORIA, IL 61614(309) 683-5600(309) 683-5607 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2024, Oct 10, 2019 (2 updates tracked since 2019).

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About Tamarra Lynn Subyantoro Apn NPPES

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

TAMARRA LYNN SUBYANTORO APN (NPI 1942842018) is an individual family provider in Peoria, Illinois, licensed in Illinois (209019900) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942842018

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAMARRA LYNN SUBYANTOROCredential: APN

Location Address5114 N GLEN PARK PLACE RD STE 110Peoria, IL 61614-4686

Mailing Address5114 N Glen Park Place Rd Ste 110Peoria, IL 61614-4686 · (309) 683-5600 · Fax (309) 683-5607

Phone(309) 683-5600

Fax(309) 683-5607

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 10, 2019

Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2024

✔ NPI 1942842018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209019900

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209019900 (IL)

5114 N GLEN PARK PLACE RD STE 110, Peoria, IL 61614

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Other Names 1

Former Name (1)Tamarra Lamprecht

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 and accepts Medicare assignment

Tamarra Lynn Subyantoro Apn 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 ID4385076397

PECOS Enrollment IDI20191113001192

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 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.

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.

184 services179 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.

107 services107 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

54 services53 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services28 patients

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

Albuterol and ipratropium bromide are medications used to help you breathe more easily. They work by relaxing your airways and increasing airflow to your lungs. These FDA-approved drugs are administered through a device called DME (Durable Medical Equipment) which ensures accurate dosage.

19 services19 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

1 supplier13 claims520 services$2.37 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

1 supplier13 claims52 services$5.53 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier13 claims250 services$5.76 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

1 supplier13 claims260 services$2.41 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$4.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DANIEL C LEMAN APRN, CNP

Nurse Practitioner (Family)

5114 N GLEN PARK PLACE RD STE 110
PEORIA, IL 61614

Peoria County (309) 683-5600

MR. ZACHARY SCOTT DRAWHON APRN, FNP-C

Nurse Practitioner

5114 N GLEN PARK PLACE RD STE 110
PEORIA, IL 61614

Peoria County (309) 683-5600

ALEXIS RENEE PRIDDY

Internal Medicine

5114 N GLEN PARK PLACE RD STE 110
PEORIA, IL 61614

Peoria County (309) 683-5600

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 Tamarra Subyantoro's NPI number?

The NPI number for Tamarra Subyantoro is 1942842018. It was assigned to this individual provider in the NPPES registry on October 10, 2019. The provider is also known as Tamarra Lamprecht.

Where is Tamarra Subyantoro located?

Tamarra Subyantoro practices at 5114 N Glen Park Place Rd Ste 110, Peoria, IL 61614. The listed phone number is (309) 683-5600.

What is Tamarra Subyantoro's specialty?

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

Is Tamarra Subyantoro enrolled in Medicare?

Yes. Tamarra Subyantoro 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 Tamarra Subyantoro accept?

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

According to CMS data, Tamarra Subyantoro is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Tamarra Subyantoro was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.