Tara M Elrod, FNP

Individual provider Active NPI Family Nurse Practitioner · Whitehouse, TX

NPI 1770834871 · NPPES record last updated Apr 23, 2026

Key facts

NPI
1770834871
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1225256 (TX)
Practice address
403 State Highway 110 N
Whitehouse, TX 75791-3109
Phone
(903) 202-7002
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abundant Health Medical Inc (2 clinicians)

Practice addresses (Care Compare)

27450 Ynez Rd
Suite 128
Temecula, CA 92591-4680
Phone (951) 383-4333

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250325001368 CA Practitioner - Nurse Practitioner 0143743781 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95032277CAMDFamily Nurse Practitioner
1225256TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Health Medical Inc Current
since Jan 1, 2025
Accepting new patients
Integrated Wellness & Center for Birth, LLC Past
since May 16, 2022
Accepting new patients

Locations

27450 Ynez Rd
Ste 128
Temecula, CA 92591
Phone (714) 935-0073

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1225256 TX Yes
Family Nurse Practitioner 363LF0000X 95032277 CA

Addresses

Primary practice location

403 State Highway 110 N
Whitehouse, TX 75791-3109

Mailing address

27450 Ynez Rd Ste 100
Temecula, CA 92591-4649
Phone (858) 315-4122

Other practice location 1

27450 Ynez Rd Ste 100
Temecula, CA 92591-4649
Phone (858) 315-4122

Other providers in Whitehouse, TX

All providers in Whitehouse, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.