Tara Rae Evans, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704301205 Issued in MI

Practice address

612 N State Rd
Davison, MI 48423-3505

Phone

(810) 652-6600

NPI assigned

Nov 1, 2017

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Medical House Calls PLCGroup PAC ID 0042453318, 5 clinicians

Unified Medical Services PCGroup PAC ID 0244513109, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Advanced Medical House Calls, PLC

  • Adult Medicine Physician
  • Fenton, MI
  • NPI 1508201013
  Medicare reassignment Care Compare group NPD
• Unified Medical Services P.C.

  • Physician Assistant
  • Genesee, MI
  • NPI 1255877445
  Medicare reassignment Care Compare group
• Flushing Urgent Care PLC

  dba Convenient Urgent Care

  • Urgent Care Clinic/Center
  • Flushing, MI
  • NPI 1780930016
  Medicare reassignment NPD

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1740792522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 BRIGHAM RD",
            "city": "GOODRICH",
            "state": "MI",
            "postal_code": "484389646",
            "telephone_number": "248-240-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N STATE RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233505",
            "telephone_number": "810-652-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7407 N Genesee Rd",
            "address_purpose": "LOCATION",
            "city": "Genesee",
            "state": "MI",
            "postal_code": "484377722",
            "country_code": "US",
            "telephone_number": "810-875-9168",
            "fax_number": "810-875-9168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TARA",
        "middle_name": "RAE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704301205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arwa El Rifai, M.D.
• Jonathan Elin-Calcador, OD
• Christopher Elliot, FNP-BC
• Marielle Elliot, FNP-BC
• Manoharan W Eustace, MD
• David Lee Ewing, DDS
• Eyecare Associates
• Mary F Fairweather, RPH
• Family Fare, LLC (VG's Pharmacy #1930)
• Family Orthopedic Associates P L C (OrthoMichigan Therapy Services)

• Family Nurse Practitioner in Davison, MI
• Providers in Davison, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.