Mrs Tamara Nicole Upchurch, AGPCNP-BC is a medicare enrolled "Hospice Care, Community Based" in Texarkana, Texas. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pallicare, Inc and her current practice location is
5803 Stoneridge Dr, Texarkana, Texas. You can reach out to her office (for appointments etc.) via phone at
(888) 725-5422.
Mrs Tamara Nicole Upchurch is licensed to practice in Texas (license number 1189550) 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 1689487050.
Provider's Profile
| Full Name | Mrs Tamara Nicole Upchurch |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 5803 Stoneridge Dr, Texarkana, Texas |
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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:
- Mrs Tamara Nicole Upchurch graduated from nursing school in 2024
NPI Data:
- NPI Number: 1689487050
- Provider Enumeration Date: 01/29/2025
- Last Update Date: 01/17/2026
Medicare PECOS Information:
- PECOS PAC ID: 3476070566
- Enrollment ID: I20251031000131
Medical Identifiers
Medical identifiers for Mrs Tamara Nicole Upchurch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689487050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LG0600X | Nurse Practitioner - Gerontology | 1189550 (Texas) | Secondary |
| 251G00000X | Hospice Care, Community Based | 1189550 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pallicare, Inc | 8123429925 | 80 |
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. Mrs Tamara Nicole Upchurch 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 |
|---|
Mrs Tamara Nicole Upchurch, AGPCNP-BC
1125 County Road 1660,
Alba, TX 75410-5522
Ph: (903) 497-7846 | Mrs Tamara Nicole Upchurch, AGPCNP-BC
5803 Stoneridge Dr,
Texarkana, TX 75503-1461
Ph: (888) 725-5422 |
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