Individual provider Active NPI

Pamela J Tarras, ARNP

  • Family Nurse Practitioner
  • Mount Pleasant, MI
National Provider Identifier
1194776153
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704138423 Issued in MI
Practice address
400 S Crapo St
Mount Pleasant, MI 48858-2997
Phone
(989) 773-5918
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9217571 FL
Family Nurse Practitioner 363LF0000X 4704138423 MI Primary

Addresses

Primary practice location

400 S Crapo St
Mount Pleasant, MI 48858-2997

Mailing address

2620 Walden Woods CT
Midland, MI 48640-6953
Phone (352) 256-4103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 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
I20060418000650 FL Practitioner - Nurse Practitioner 4082623178 Reassigns benefits to 1 organization
I20240805003434 MI Practitioner - Nurse Practitioner 4082623178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

400 S Crapo St
Mt Pleasant, MI 48858-2944
Phone (248) 860-4634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9217571FLMDFamily Nurse Practitioner
4704138423MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jun 10, 2025 Accepting new patients
Theoria Medical CurrentSince Sep 2, 2024 Accepting new patients
Minuteclinic LLC Family CurrentSince Sep 13, 2015 Accepting new patients

Locations

4354 NW 23rd Ave
Gainesville, FL 32606
Phone (352) 376-4565

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

9317 Vienna Rd
Montrose, MI 48457
Phone (810) 639-6170

1524 Portabella Trl
Mt Pleasant, MI 48858
Phone (989) 772-2967

400 S Crapo St
Mt Pleasant, MI 48858
Phone (989) 772-6848

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Interoperability endpoints

  • Direct secure messaging: pamela.tarras.1@28492.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1194776153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 WALDEN WOODS CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406953",
            "telephone_number": "352-256-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CRAPO ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582997",
            "telephone_number": "989-773-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRAS",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9217571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704138423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.