Individual provider Active NPI

Tara Reed Chernecke, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1841661709
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009407 Issued in KY
Practice address
10211 Westport Rd
Louisville, KY 40241-2147
Phone
(502) 339-0444
Fax
(502) 339-1717
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 3009407 KY Primary

Addresses

Primary practice location

10211 Westport Rd
Louisville, KY 40241-2147

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other identifiers 3

IdentifierTypeStateIssuer
201330940MedicaidIN
7100375710MedicaidKY
3009407OtherKYSTATE LICENSE

Other names 1

  • Tara Reed Wilson Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address tchernecke59915@direct.nortonhealthcare.org Direct
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
Direct Messaging Address tchernecke59915@direct.nortonhealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20151112002500 KY Practitioner - Nurse Practitioner 2860702339 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009407KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 2, 2015 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 2, 2015 Accepting new patients
Norton Childrens Medical Group, LLC Family CurrentSince Mar 1, 2020 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

9702 Stonestreet Rd
Ste 100
Louisville, KY 40272
Phone (502) 588-0610

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

10211 Westport Rd
Louisville, KY 40241
Phone (502) 339-0444

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

1169 Eastern Pkwy
Ste 100
Louisville, KY 40217
Phone (502) 588-0700

1930 Bishop Ln
Ste 1017
Louisville, KY 40218
Phone (502) 272-5064

Interoperability endpoints

  • Direct secure messaging: tchernecke59915@direct.nortonhealthcare.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1841661709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 WESTPORT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412147",
            "telephone_number": "502-339-0444",
            "fax_number": "502-339-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNECKE",
        "first_name": "TARA",
        "middle_name": "REED",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201330940",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100375710",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3009407",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tchernecke59915@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9702 Stonestreet Rd",
            "address_2": "Suite 100",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402726808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9702 Stonestreet Rd",
            "address_2": "Suite 100",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402726808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tchernecke59915@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "9702 Stonestreet Rd",
            "address_2": "Suite 100",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402726808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "WILSON",
            "middle_name": "REED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.