TARA JO RUDISILL PA-C
NPI 1982971719
Physician Assistant in Bloomington, IN
About Tara Jo Rudisill Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA JO RUDISILL PA-C (NPI 1982971719) is an individual physician assistant in Bloomington, Indiana, licensed in Virginia (0110004072) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Henrico Doctors' Hospital, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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 Jo Rudisill Pa-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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henrico Doctors' Hospital
Acute Care Hospitals · Richmond, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47401 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMINGTON, IN 47401
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 Rudisill's NPI number?
The NPI number for Tara Rudisill is 1982971719. It was assigned to this individual provider in the NPPES registry on November 22, 2011.
Where is Tara Rudisill located?
Tara Rudisill practices at 2605 E Creeks Edge Dr, Bloomington, IN 47401. The listed phone number is (812) 333-2663.
What is Tara Rudisill's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Tara Rudisill enrolled in Medicare?
Yes. Tara Rudisill 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.
Is Tara Rudisill affiliated with any hospitals?
According to CMS data, Tara Rudisill is affiliated with Henrico Doctors' Hospital.
When was this NPI record last updated?
The NPPES record for Tara Rudisill was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tara Jo Rudisill, PA-C · NPI 1982971719
Physician Assistant physician in Bloomington, Indiana. Individual provider, active in the CMS NPPES registry since November 22, 2011.
## Identity
- **NPI:** 1982971719 (Entity type: Individual)
- **Enumerated:** November 22, 2011
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 0110004072 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2605 E CREEKS EDGE DR, Bloomington, IN 47401-8368
- **Phone:** (812) 333-2663
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1982971719) · Data from the CMS NPPES public registry.