Individual provider Active NPI

Tara D Stevens, APRN, NP-C

  • Nurse Practitioner
  • Circleville, OH
National Provider Identifier
1538650486
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
022764 Issued in OH
Practice address
210 Sharon Rd Ste D
Circleville, OH 43113-1498
Phone
(740) 420-8422
NPI assigned
May 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 APRN.CNP.022764 OH
Nurse Practitioner 363L00000X 022764 OH Primary

Addresses

Primary practice location

210 Sharon Rd Ste D
Circleville, OH 43113-1498

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

1450 Columbus Ave
Washington Court House, OH 43160-3701
Phone (740) 333-2755

Other practice location 2

601 State Route 664 N
Logan, OH 43138-9648
Phone (740) 380-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tstevens51022@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20180802000229 OH Practitioner - Nurse Practitioner 6709134067 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

210 Sharon Rd
Suite D
Circleville, OH 43113-1498
Phone (740) 420-8422

Hospital & facility affiliations

  • Berger Hospital Hospital, Circleville, OH, CCN 360170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
022764OHMDNurse Practitioner
APRN.CNP.022764OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Urgent Care LLC CurrentSince Dec 25, 2023 Accepting new patients
Hocking Valley Community Hospital Current Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Jun 1, 2023 Accepting new patients
Pain Management Group LLC Nurse Practitioner Past Accepting new patients
Pain Management Group PLLC Past Accepting new patients

Locations

210 Sharon Rd
Ste D
Circleville, OH 43113
Phone (740) 420-8422

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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 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": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1538650486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SHARON RD STE D",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131498",
            "telephone_number": "740-420-8422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "431603701",
            "country_code": "US",
            "telephone_number": "740-333-2755",
            "fax_number": "740-420-2997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 State Route 664 N",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "OH",
            "postal_code": "431389648",
            "country_code": "US",
            "telephone_number": "740-380-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "TARA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022764",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "022764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tstevens51022@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "210 Sharon Rd Ste D",
            "city": "Circleville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431131498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.