Tricia Marie Taaca, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.007865 Issued in IL

Practice address

1499 Lakewood Dr Ste a
Morris, IL 60450-1791

Phone

(815) 941-5160

Fax

(815) 941-5165

NPI assigned

Apr 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cary Ann Jenkins MD LLCGroup PAC ID 9638212079, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101

Merit-based Incentive Payment System (MIPS)

Final score

99.32 of 100Reported as group

Quality

98.64

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Cary Ann Jenkins, MD, LLC

  • Dermatology Physician
  • Morris, IL
  • NPI 1801122536
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Morris Hospital

  • General Acute Care Hospital
  • Morris, IL
  • NPI 1649370057
  Care Compare affiliation

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1255950242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 DEVON LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401108",
            "telephone_number": "630-207-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 LAKEWOOD DR STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501791",
            "telephone_number": "815-941-5160",
            "fax_number": "815-941-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAACA",
        "first_name": "TRICIA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Struck, D.D.S.
• Taelor Anne Stuedemann, NP
• Andrew Stump
• Ashish G. Suthar, PHARMD
• Richard Russell Symanski, D.O.
• Benedict Tanbonliong, MD
• Nanette Teausant-Taller, LCSW
• John Arthur Thompson
• Three Wells Acupuncture Clinic, Inc.
• Ashleigh Tira

• Physician Assistant in Morris, IL
• Providers in Morris, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.

Verify at the official NPI Registry.