Tara Lynn Mccullough, CNP in Saint Paul, MN - Medicare Nurse Practitioner

Tara Lynn Mccullough, CNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Paul, Minnesota. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Herself Health Mn Pc and her current practice location is 2004 Ford Pkwy, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 256-8225.

Tara Lynn Mccullough is licensed to practice in Minnesota (license number 5944) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1538648811.

Contact Information

	Tara Lynn Mccullough, CNP
	2004 Ford Pkwy, Saint Paul, MN 55116-1931
	(612) 256-8225
	(612) 457-0216

Map and Direction

Provider's Profile

Full Name	Tara Lynn Mccullough
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	2004 Ford Pkwy, Saint Paul, Minnesota
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tara Lynn Mccullough graduated from nursing school in 2018

NPI Data:

NPI Number: 1538648811
Provider Enumeration Date: 08/08/2018
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1658623277
Enrollment ID: I20181010000668

Medical Identifiers

Medical identifiers for Tara Lynn Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538648811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5944 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Abbott Northwestern Hospital	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Herself Health Mn Pc	6507234820	22

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tara Lynn Mccullough allows following entities to bill medicare on her behalf.

Entity Name	Native American Community Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932258845 PECOS PAC ID: 8224921978 Enrollment ID: O20040205000844

Entity Name	Herself Health Mn Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326775420 PECOS PAC ID: 6507234820 Enrollment ID: O20221117002048

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Lynn Mccullough is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tara Lynn Mccullough, CNP 2004 Ford Pkwy, Saint Paul, MN 55116-1931 Ph: (612) 256-8225	Tara Lynn Mccullough, CNP 2004 Ford Pkwy, Saint Paul, MN 55116-1931 Ph: (612) 256-8225

Reviews and Comments

Nurse Practitioner Nurses in Saint Paul, MN

Leslie Ewens, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 671 Vandalia St, Saint Paul, MN 55114 Phone: 651-698-2406
Michelle Coleen Hicks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106
Sadie Marie Nelson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-240-5511
Mrs. Sarah Lynne Potts, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-241-8000
Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589
Jeanne Rancone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517
Amy F Larson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6300 Fax: 952-967-7616

Tara Lynn Mccullough, CNP - Medicare Nurse Practitioner in Saint Paul, MN