Individual provider Active NPI

Tara Nicole Casper, FNP-C

  • Family Nurse Practitioner
  • McMinnville, TN
National Provider Identifier
1659093078
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32383 Issued in TN
Practice address
207 Oak Park
McMinnville, TN 37110-1336
Phone
(931) 474-4000
Fax
(931) 474-4001
NPI assigned
Sep 13, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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 32383 TN Primary

Addresses

Primary practice location

207 Oak Park
McMinnville, TN 37110-1336

Mailing address

207 Oak Park
McMinnville, TN 37110-1336
Phone (931) 474-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20221206001018 TN Practitioner - Nurse Practitioner 6901275445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Clinic LLCGroup PAC ID 8729225677, 13 clinicians

Practice addresses (Care Compare)

207 Oak Park
McMinnville, TN 37110-1336
Phone (931) 474-4700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Wellness LLC Family CurrentSince Sep 23, 2022 Accepting new patients
Family Care Clinic LLC Family CurrentSince Sep 23, 2022 Accepting new patients

Locations

207 Oak Park
McMinnville, TN 37110
Phone (931) 473-9624

306 N Chancery St
McMinnville, TN 37110
Phone (931) 474-4700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1659093078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 OAK PARK",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101336",
            "telephone_number": "931-474-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 OAK PARK",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101336",
            "telephone_number": "931-474-4000",
            "fax_number": "931-474-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASPER",
        "first_name": "TARA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.