Individual provider Active NPI

Tara R. Applegate, APRN

  • Nurse Practitioner
  • West Union, OH
National Provider Identifier
1447611652
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.024508 Issued in OH
Practice address
90 Cic Blvd
West Union, OH 45693-8024
Phone
(934) 544-8989
Fax
(937) 544-5659
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.024508 OH Primary

Addresses

Primary practice location

90 Cic Blvd
West Union, OH 45693-8024

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Other identifiers 2

IdentifierTypeStateIssuer
3010178OtherKYMEDICAL LICENSE
7100393910MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tara.applegate@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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
I20160504002296 KY Practitioner - Nurse Practitioner 8820397391 Reassigns benefits to 1 organization
I20190524002345 OH Practitioner - Nurse Practitioner 8820397391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians

Practice addresses (Care Compare)

1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone (740) 356-7290

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8117

8770 Ohio River Rd
Wheelersburg, OH 45694-1918
Phone (740) 574-9090

90 Cic Blvd
West Union, OH 45693-8024
Phone (937) 544-8989

Hospital & facility affiliations

  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky, PLLC CurrentSince Sep 1, 2018 Accepting new patients
Somc Medical Care Foundation, Inc. Nurse Practitioner CurrentSince Apr 19, 2019 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Sep 1, 2018 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Apr 19, 2019 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Feb 28, 2019 Accepting new patients
St. Claire Medical Center Inc. Past Accepting new patients
George E. Esham, M.D. Inc. Past Accepting new patients
St. Claire Medical Center, Inc Past Accepting new patients

Locations

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

420 Martin Luther King Hwy
Maysville, KY 41056
Phone (606) 375-4817

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1735 27th St
Portsmouth, OH 45662
Phone (740) 351-0980

90 Cic Blvd
West Union, OH 45693
Phone (937) 544-8989

Interoperability endpoints

  • Direct secure messaging: appltara@somc.gwaydirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1447611652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CIC BLVD",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456938024",
            "telephone_number": "934-544-8989",
            "fax_number": "937-544-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEGATE",
        "first_name": "TARA",
        "middle_name": "R.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.024508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "3010178",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100393910",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tara.applegate@somc.medicity.net",
            "affiliation": "N",
            "address_1": "90 Cic Blvd",
            "city": "West Union",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456938024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

Verify at the official NPI Registry.