Tamara Royalty, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Hanover, IN
NPI 1992371975 · NPPES record last updated Dec 1, 2025
Key facts
- NPI
- 1992371975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71017339A (IN)
- Practice address
- 4152 W State Road 56
Hanover, IN 47243-9070 - Phone
- (812) 762-4510
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 27
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
CCMH Corporation
Practice addresses (Care Compare)
4152 W State Rd
Hanover, IN 47243-9070
Phone (901) 351-1791
470 Hwy 421 N
Bedford, KY 40006-8690
Phone (502) 255-7732
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210820002718 | KY | Practitioner - Nurse Practitioner | 7214332790 | Reassigns benefits to 2 organizations |
| I20251114002044 | IN | Practitioner - Nurse Practitioner | 7214332790 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71017339A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current |
Accepting new patients | |
| CCMH Corporation | Current |
Accepting new patients | |
| CCMH Corporation | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Community Medical Associates, Inc. | Single Specialty | Current |
Accepting new patients |
| Fast Pace Medical Clinic PLLC | Single Specialty | Current |
Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| CCMH Corporation | Single Specialty | Current | Accepting new patients |
| Community Medical Associates, Inc. | Single Specialty | Current | Accepting new patients |
| Upperline Healthcare, PC | Single Specialty | Current |
Accepting new patients |
| Community Medical Associates, Inc. | Single Specialty | Past | Accepting new patients |
Locations
1159 W Jefferson St
Ste 204
Franklin, IN 46131
4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510
309 11th St
Carrollton, KY 41008
Phone (502) 732-3241
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
10235 Highway 421 N
Ste 1A
Milton, KY 40045
Phone (502) 268-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71017339A | IN | Yes |
| Family Nurse Practitioner |
363LF0000X | 3016147 | KY |
Addresses
Primary practice location
4152 W State Road 56
Hanover, IN 47243-9070
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3016147 | Other | KY | KENTUCKY BOARD OF NURSING |
| 7100763650 | Medicaid | KY |
Other names
- Tamara Simmons
Other providers in Hanover, IN
- Bonita Petersen
- Private Healthcare Facilities
- Tanya Denise Ream
- Brian Todd Robertson
- Kobie Roy
- Mary Schroeder
- Sarah Margaret Sexson
- Dawn Kathleen Sirek
- Alexander John Smith
- Kristen Smith
All providers in Hanover, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.