Individual provider Active NPI

Tara Kathleen McMorris, M.S., PA-C

  • Physician Assistant
  • Kalamazoo, MI
National Provider Identifier
1942589874
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006082 Issued in MI
Practice address
601 John St
Kalamazoo, MI 49007-5341
Phone
(269) 341-7654
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006082 MI Primary

Addresses

Primary practice location

601 John St
Kalamazoo, MI 49007-5341

Mailing address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7339

Other identifiers 2

IdentifierTypeStateIssuer
1417961137OtherMIBCBSM - BRONSON
1942589874MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110926000482 MI Practitioner - Physician Assistant 0143491001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology Services PCGroup PAC ID 4284546516, 252 clinicians

Practice addresses (Care Compare)

Saint Joseph, MI 49085
Phone (616) 363-7272

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 363-7272

1009 W Green St
Hastings, MI 49058-1710
Phone (616) 363-7272

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (616) 363-7272

14544 Georgian Bay Dr
Holland, MI 49424-7535
Phone (616) 363-7272

1840 Wealthy St SE
Grand Rapids, MI 49506-2921
Phone (616) 363-7272

1855 Boardwalk
Saint Joseph, MI 49085-9664
Phone 61636372721046

292 Yarmouth Rd
Bloomfield Hills, MI 48301-2745
Phone (616) 363-7272

300 N Ave
Battle Creek, MI 49017-3307
Phone (616) 363-7272

3099 Churchhill LN
Apt 4
Saginaw, MI 48603-4312
Phone (616) 363-7272

3121 Oak LN
Stevensville, MI 49127-9346
Phone (616) 363-7272

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone 61636372721046

3700 Lake Birch St NE
Grand Rapids, MI 49525-8606
Phone (616) 363-7272

3900 Hollywood Rd
Saint Joseph, MI 49085-9149
Phone (616) 363-7272

408 Hazen St
Paw Paw, MI 49079-1019
Phone (616) 363-7272

4150 Lakeside Dr
Kalamazoo, MI 49008-2814
Phone (616) 363-7272

5325 Ridge Rd
Stevensville, MI 49127-1000
Phone (616) 363-7272

6460 S Bluebird Ave E
Fremont, MI 49412-7660
Phone (616) 363-7272

6715 Apple Blossom LN
Kalamazoo, MI 49009-7488
Phone 61636373391046

859 Majestic
Rochester Hills, MI 48306-3574
Phone (616) 363-7272

9652 Maricopa TRL
Kalamazoo, MI 49009-4957
Phone (616) 363-7272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Services LLC Past Accepting new patients

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.

Hospital & facility affiliations 5

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1942589874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7339",
            "fax_number": "616-361-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMORRIS",
        "first_name": "TARA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM - BRONSON",
            "identifier": "1417961137",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942589874",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.