Individual provider Active NPI

Tara Perry

  • Family Nurse Practitioner
  • Auburn, IN
National Provider Identifier
1184248908
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015085A Issued in IN
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

Updated by the provider on May 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200701000712 MI Practitioner - Nurse Practitioner 2860815321 Reassigns benefits to 4 organizations
I20240418002954 IN Practitioner - Nurse Practitioner 2860815321 Reassigns benefits to 2 organizations

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
Illinois Urgent Care Professionals PLLCGroup PAC ID 9830437946, 36 clinicians

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

LicenseStateTypeSpecialty
71015085AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 27, 2023 Accepting new patients
Illinois Urgent Care Professionals PLLC CurrentSince Jul 11, 2025 Accepting new patients
City Medical P C CurrentSince Oct 28, 2022 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 27, 2023 Accepting new patients
Pic Indiana PC CurrentSince Jun 1, 2024 Accepting new patients
Flushing Urgent Care PLC CurrentSince Jul 1, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.