Individual provider Active NPI

Tara Rae Pate, APRN, FNP-C

  • Family Nurse Practitioner
  • Salem, AR
National Provider Identifier
1568293249
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229868 Issued in AR
Practice address
673 North Main Street
Salem, AR 72576
Phone
(870) 371-2946
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 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 229868 AR Primary

Addresses

Primary practice location

673 North Main Street
Salem, AR 72576

Mailing address

673 N Main St
Salem, AR 72576-9451
Phone (708) 952-1528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20241008004140 AR Practitioner - Nurse Practitioner 2062943566 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter Health Fulton County Hospital 6 clinicians

Practice addresses (Care Compare)

PO Box
Suite 517
Salem, AR 72576

Hospital & facility affiliations

  • Baxter Health Fulton County Hospital Hospital, Salem, AR, CCN 041322
  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229868ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Hospital CurrentSince Sep 23, 2024 Accepting new patients
Fulton County Hospital CurrentSince Sep 23, 2024 Accepting new patients
Baxter Health Fulton County Hospital CurrentSince Jan 1, 2025 Accepting new patients
Fulton County Hospital Current Accepting new patients
Baxter Health Fulton County Hospital CurrentSince Jan 1, 2025 Accepting new patients
Baxter Health Fulton County Hospital CurrentSince Jan 1, 2025 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

673 N Main St
Ste A
Salem, AR 72576
Phone (870) 895-2152

673 N Main St
Salem, AR 72576
Phone (870) 625-3111

Organizations & group practices 9

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 3

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1568293249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 N MAIN ST",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725769451",
            "telephone_number": "708-952-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 NORTH MAIN STREET",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "72576",
            "telephone_number": "870-371-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "TARA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "229868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, AR

Sources for this page

Verify at the official NPI Registry.