NPIMap

Individual provider Active NPI

Tamara R Johnson, MD

  • Family Medicine Physician
  • North Platte, NE
National Provider Identifier
1992739890
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17008 Issued in NE
Practice address
110 N Bailey
North Platte, NE 69103
Phone
(308) 534-6029
Fax
(308) 534-6961
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17008 NE Primary

Addresses

Primary practice location

110 N Bailey
North Platte, NE 69103

Mailing address

PO Box 1209
110 N Bailey
North Platte, NE 69103
Phone (308) 534-6029

Other identifiers 3

IdentifierTypeStateIssuer
97103OtherBCBS
1702OtherMIDLANDS CHOICE
32112OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100917000525 NE Practitioner - Family Practice 7618905704 Reassigns benefits to 1 organization
I20120601000305 CO Practitioner - Family Practice 7618905704 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Region II Human ServicesGroup PAC ID 0143280651, 15 clinicians

Practice addresses (Care Compare)

110 N Bailey Ave
North Platte, NE 69101-5436
Phone (308) 534-6029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Integrated Medicine PC CurrentSince May 21, 2017 Accepting new patients
Axiom Integrative Health PC Family Medicine CurrentSince Oct 14, 2024 Accepting new patients
Mile High Spine and Pain Center LLC CurrentSince Jan 20, 2025 Accepting new patients
Harmony Medical Group, LLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Region II Human Services CurrentSince Mar 3, 2003 Accepting new patients
Region II Human Services Current Accepting new patients
Spine Group LLC Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
Region II Human Services Family Medicine Past Accepting new patients
Region II Human Services Past Accepting new patients
Denver Regenerative Health Institute PC PastSince Feb 7, 2017 Accepting new patients

Locations

5657 S Himalaya St
Ste 280
Centennial, CO 80015
Phone (303) 617-0777

2244 E Harmony Rd
Ste 110
Fort Collins, CO 80528
Phone (970) 226-1117

18425 Pony Express Dr
Unit 203
Parker, CO 80134
Phone (303) 805-1218

12061 Tejon St
Ste 600
Westminster, CO 80234
Phone (303) 457-0123

1012 W 3rd St
McCook, NE 69001
Phone (308) 345-2770

110 N Bailey Ave
North Platte, NE 69101
Phone (308) 532-4860

401 W 1st St
Ogallala, NE 69153
Phone 3082846767 ext. 206

Interoperability endpoints

  • Direct secure messaging: tamara.r.johnson@vmc-co.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beaver City ManorBeaver City, NE, CCN 285269 Skilled nursing facility Corporate Director Jul 29, 2005
Good Samaritan Society - AlmaAlma, NE, CCN 285185 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 30, 2017
Jan 30, 2021
Good Samaritan Society - Home Care of Central NebraskaKearney, NE, CCN 287129 Home health agency Contracted Managing Employee Jan 30, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1992739890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "address_2": "110 N BAILEY",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "69103",
            "telephone_number": "308-534-6029",
            "fax_number": "308-534-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N BAILEY",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "69103",
            "telephone_number": "308-534-6029",
            "fax_number": "308-534-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMARA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "17008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "1702",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32112",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.