Tarah Adele Henderson, NP is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Camby, Indiana. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Franciscan Physician Network and her current practice location is
10701 Alliance Dr Ste A, Camby, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 856-7083.
Tarah Adele Henderson is licensed to practice in Indiana (license number 71017539A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073483467.
Physician's Profile
| Full Name | Tarah Adele Henderson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 10701 Alliance Dr Ste A, Camby, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tarah Adele Henderson graduated from medical school in 2025
NPI Data:
- NPI Number: 1073483467
- Provider Enumeration Date: 11/10/2025
- Last Update Date: 01/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 0042798894
- Enrollment ID: I20260202003135
Medical Identifiers
Medical identifiers for Tarah Adele Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073483467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 28256630A (Indiana) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 71017539A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Franciscan Physician Network | 3072790682 | 1168 |
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. Tarah Adele Henderson 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 |
|---|
Tarah Adele Henderson, NP
Po Box 781076,
Detroit, MI 48278-1008
Ph: (317) 528-4800 | Tarah Adele Henderson, NP
10701 Alliance Dr Ste A,
Camby, IN 46113-8837
Ph: (317) 856-7083 |
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