Active NPI
Tara Perry
- Family Nurse Practitioner
- Auburn, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71015085A
- Practice address
- 1113 W 7TH St
Auburn, IN 46706-2016 - Phone
- (260) 909-5163
- NPI assigned
- Jun 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71015085A | IN | Primary |
Addresses
Primary practice location
1113 W 7TH St
Auburn, IN 46706-2016
Mailing address
17664 Lakota CT
Huntertown, IN 46748-0178
Phone (260) 909-5163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3019 N National Rd
Columbus, IN 47203
Phone (708) 922-0911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71015085A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Illinois Urgent Care Professionals PLLC | Current | Accepting new patients | |
| City Medical P C | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Pic Indiana PC | Current | Accepting new patients | |
| Flushing Urgent Care PLC | Current | Accepting new patients |
Locations
800 W Fulton Market
Fl 12
Chicago, IL 60607
7444 W Wilson Ave
Ste 102
Harwood Hts, IL 60706
Phone 2249996997101
1113 W 7th St
Auburn, IN 46706
Phone (260) 909-5163
3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135
1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925
25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017
6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
700 S Main St
Ste 101B
Lapeer, MI 48446
Phone (810) 720-1200
2603 Electric Ave
Ste A
Port Huron, MI 48060
Phone (810) 662-3220
3550 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-2530
13636 Dix Toledo Rd
Southgate, MI 48195
Phone (313) 283-2262
Interoperability endpoints
- https://api.platform.athenahealth.com/20501/brand/1/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Local MD Urgent Care
- Family Medicine Physician
- Homewood, IL
- NPI 1215407812
IN
-
- General Practice Physician
- Southgate, MI
- NPI 1912076175
-
dba Convenient Urgent Care
- Urgent Care Clinic/Center
- Flushing, MI
- NPI 1780930016
-
dba Hometown Urgent Care
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
dba WellNow Clinical Laboratory
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
-
dba WellNow Clinical Laboratory
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1184248908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17664 LAKOTA CT",
"city": "HUNTERTOWN",
"state": "IN",
"postal_code": "467480178",
"telephone_number": "260-909-5163",
"fax_number": "260-909-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 W 7TH ST",
"city": "AUBURN",
"state": "IN",
"postal_code": "467062016",
"telephone_number": "260-909-5163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71015085A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.