Individual provider Active NPI

Tara Topper, FNP-C

  • Family Nurse Practitioner
  • O Fallon, IL
National Provider Identifier
1649660200
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012540 Issued in IL
Practice address
1512 N Green Mount Rd
O Fallon, IL 62269-1953
Phone
(619) 624-3368
NPI assigned
Feb 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209012540 IL
Family Nurse Practitioner 363LF0000X 209012540 IL Primary

Addresses

Primary practice location

1512 N Green Mount Rd
O Fallon, IL 62269-1953

Mailing address

6810 State Route 162 Ste 215
Maryville, IL 62062-8566
Phone (618) 391-6410

Other practice location 1

17 Ginger Creek Mdws
Glen Carbon, IL 62034-3508
Phone (618) 656-9777

Other practice location 2

1103 Belt Line Rd
Collinsville, IL 62234-4368
Phone (618) 344-2273

Other practice location 3

159 E McArthur Dr
Bethalto, IL 62010-1918
Phone (618) 258-7504

Other practice location 4

108 W US Highway 40
Troy, IL 62294-1836
Phone (618) 667-1800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150519000024 IL Practitioner - Nurse Practitioner 7618297482 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians

Practice addresses (Care Compare)

159 E McArthur Dr
Bethalto, IL 62010-1918
Phone (618) 258-7504

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.76 of 100Reported as group
Quality
54.98
Promoting interoperability
85
Improvement activities
40
Cost
73.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209012540ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Inpatient Anderson Health, Inc CurrentSince Feb 1, 2022 Accepting new patients
Anderson Medical Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Midwest Emergency Anderson Health, Inc CurrentSince Feb 1, 2022 Accepting new patients
Midwest Emergency Centralia Campus Associates, Inc CurrentSince Sep 15, 2017 Accepting new patients
Emergency Services Midwest SC Nurse Practitioner CurrentSince Apr 1, 2018 Accepting new patients
Midwest Emergency Good Samaritan, Inc CurrentSince Jan 8, 2020 Accepting new patients

Locations

159 E McArthur Dr
Bethalto, IL 62010
Phone (618) 258-7380

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1103 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-2273

3417 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 288-4929

17 Ginger Creek Mdws
Glen Carbon, IL 62034
Phone (618) 656-9777

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

320 E Highway 50
O Fallon, IL 62269
Phone (618) 624-3368

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

108 W US Highway 40
Troy, IL 62294
Phone (618) 391-5065

Organizations & group practices 6

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": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1649660200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 STATE ROUTE 162 STE 215",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628566",
            "telephone_number": "618-391-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 N GREEN MOUNT RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691953",
            "telephone_number": "619-624-3368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Ginger Creek Mdws",
            "address_purpose": "LOCATION",
            "city": "Glen Carbon",
            "state": "IL",
            "postal_code": "620343508",
            "country_code": "US",
            "telephone_number": "618-656-9777",
            "fax_number": "618-656-1249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "IL",
            "postal_code": "622344368",
            "country_code": "US",
            "telephone_number": "618-344-2273",
            "fax_number": "618-344-3034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 E McArthur Dr",
            "address_purpose": "LOCATION",
            "city": "Bethalto",
            "state": "IL",
            "postal_code": "620101918",
            "country_code": "US",
            "telephone_number": "618-258-7504",
            "fax_number": "618-258-7542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 W US Highway 40",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "IL",
            "postal_code": "622941836",
            "country_code": "US",
            "telephone_number": "618-667-1800",
            "fax_number": "618-667-1802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOPPER",
        "first_name": "TARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012540",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

Verify at the official NPI Registry.