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Active NPI 1497470793 Individual Practitioner Female Practitioner

Tara K Johnson , APRN, CNP

Nurse Practitioner • Park Ridge, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tara Johnson, APRN, CNP is a certified Nurse Practitioner practicing in Park Ridge, IL. With approximately 5 years of clinical experience since completing medical education in 2021, Tara Johnson delivers high-quality medical care to the local community at 1700 LUTHER LN STE 1220.

Tara Johnson is affiliated with Advocate Health And Hospitals Corporation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1700 Luther Ln Ste 1220

Park Ridge, IL 600681270

Telephone 8477234400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Park Ridge, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -3.5 yrs vs City Avg
City Avg: 8.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
68 Specialists

Practicing in Park Ridge, IL (4929 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (5 Years) 5 Yrs
Park Ridge Specialty Average (8.5 Years) 8.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-11-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209025363

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License IL 209025363

Definition to come...

Hospital & Practice Group Affiliations

Advocate Health And Hospitals Corporation

1700 Luther Ln, Park Ridge, IL 600681270

Phone: 8477234400

Secondary Practice Locations

675 N Saint Clair St Ste 21-100

Chicago, IL 606115970

Phone: 3126950990

4440 W 95th St Fl 8

Oak Lawn, IL 604532600

Phone: 7086844200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Ronit Sturmwind , FNP-C

Nurse Practitioner

NPI 1245962794

Family Nurse Practitioner (Certified)

Kelsey Winck , MSN, FNP-BC

Nurse Practitioner

NPI 1285199679

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

NPI 1346462207

Doctor of Medicine (M.D.)

Dr. Yogesh Jethava , MD

Internal Medicine - Hematology

NPI 1841622701

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location June 12, 2024

Registered at 1700 LUTHER LN STE 1220, PARK RIDGE, IL 600681270 (Tel: 8477234400)

📍
Updated Business Mailing Address June 12, 2024

Registered at 29373 NETWORK PL, CHICAGO, IL 606731293 (Tel: 8473595900)

👤
Provider Name / Credentials Updated June 12, 2024

Recorded as TARA JOHNSON, APRN, CNP

📍
Updated Practice Location January 31, 2023

Registered at 675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 606115970 (Tel: 3126950990)

📍
Updated Business Mailing Address January 31, 2023

Registered at 675 N SAINT CLAIR ST STE 21-100, CHICAGO, IL 606115970 (Tel: 3126950990)

👤
Provider Name / Credentials Updated January 31, 2023

Recorded as TARA MITCHELL, APRN, CNP

NPI Profile Active October 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2022

Registered at 251 E HURON ST, CHICAGO, IL 606113055 (Tel: 3129262000)

📍
Updated Business Mailing Address October 10, 2022

Registered at 3027 N CLIFTON AVE APT 2, CHICAGO, IL 606579183 (Tel: 9204704078)

👤
Provider Name / Credentials Updated October 10, 2022

Recorded as TARA MITCHELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2022

Nurse Practitioner (License #209025363 in IL)

🟢
Initial NPI Registration & Enumeration October 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497470793
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2022
Last Update: November 08, 2024
Sole Proprietor: No

Mailing Address

29373 Network Pl

Chicago, IL 606731293

Phone: 8473595900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.