Tarah Adele Henderson, NP
Individual provider Active NPI Gerontology Nurse Practitioner · Camby, IN
NPI 1073483467 · NPPES record last updated Jan 9, 2026
Key facts
- NPI
- 1073483467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 71017539A (IN)
- Practice address
- 10701 Alliance Dr Ste a
Camby, IN 46113-8837 - Phone
- (317) 856-7083
- Fax
- (317) 856-7332
- NPI assigned
- Nov 10, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Physician Network
Practice addresses (Care Compare)
10701 Alliance Dr a
Camby, IN 46113-8837
Phone (317) 856-7083
Hospital & facility affiliations
- Franciscan Health Mooresville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260202003135 | IN | Practitioner - Nurse Practitioner | 0042798894 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28256630A | IN | MD | Internal Medicine Physician |
| 71017539A | IN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Internal Medicine | Current |
Accepting new patients |
| Franciscan Physician Network | Current |
Accepting new patients |
Locations
10701 Alliance Dr
Camby, IN 46113
Phone (317) 856-7083
10701 Alliance Dr
Ste A
Camby, IN 46113
Phone (317) 372-7328
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28256630A | IN | |
| Gerontology Nurse Practitioner | 363LG0600X | 71017539A | IN | Yes |
Addresses
Primary practice location
10701 Alliance Dr Ste a
Camby, IN 46113-8837
Mailing address
PO Box 781076
Detroit, MI 48278-1008
Phone (317) 528-4800
Other providers in Camby, IN
- Adam W Harty
- Health 1St of Indy SW
- Health 1St of Indy SW
- Heart to Heart Personal Care Services LLC
- Heart to Home Quality, Comfort Care, LLC
- Elizabeth Hickox
- Lisa Jane Hinders
- Paula K Hite
- Homelights Care LLC
- Ashlyn Hopkins
All providers in Camby, IN · Gerontology Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.