Ms Tacara Nichole Anderson, APRN, FNP-C in Clayton, NC

Ms Tacara Nichole Anderson, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Clayton, North Carolina. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ivy Medical Group Pllc, Ivy Medical Group Pllc, Ivy Medical Group Pllc, Ivy Medical Group Pllc, Ivy Medical Group Pllc, Ivy Medical Group Pllc, Ivy Medical Group Pllc, Ivy Medical Group Pllc and her current practice location is 11618 Clayton Blvd, Clayton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 416-8010.

Ms Tacara Nichole Anderson is licensed to practice in North Carolina (license number 5016648) 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 1053922294.

Contact Information

	Ms Tacara Nichole Anderson, APRN, FNP-C
	11618 Clayton Blvd, Clayton, NC 27520-2275
	(919) 416-8010
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Tacara Nichole Anderson
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	11618 Clayton Blvd, Clayton, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Tacara Nichole Anderson graduated from nursing school in 2020

NPI Data:

NPI Number: 1053922294
Provider Enumeration Date: 08/12/2020
Last Update Date: 01/03/2026

Medicare PECOS Information:

PECOS PAC ID: 4284041914
Enrollment ID: I20210325001104

Medical Identifiers

Medical identifiers for Ms Tacara Nichole Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053922294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5016648 (North Carolina)	Primary
363LF0000X	Nurse Practitioner - Family	0024180193 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	AC003520 (Maryland)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivy Medical Group Pllc	4981097797	96
Ivy Medical Group Pllc	4981097797	96
Ivy Medical Group Pllc	4981097797	96
Ivy Medical Group Pllc	4981097797	96
Ivy Medical Group Pllc	4981097797	96
Ivy Medical Group Pllc	4981097797	96
Ivy Medical Group Pllc	4981097797	96
Ivy Medical Group Pllc	4981097797	96

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. Ms Tacara Nichole Anderson allows following entities to bill medicare on her behalf.

Entity Name	Post Acute Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114441565 PECOS PAC ID: 1951676568 Enrollment ID: O20200603000116

Entity Name	Ivy Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20250205003048

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. Ms Tacara Nichole Anderson 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
Ms Tacara Nichole Anderson, APRN, FNP-C 11618 Clayton Blvd, Clayton, NC 27520-2275 Ph: (919) 416-8010	Ms Tacara Nichole Anderson, APRN, FNP-C 11618 Clayton Blvd, Clayton, NC 27520-2275 Ph: (919) 416-8010

Reviews and Comments

Nurse Practitioner Nurses in Clayton, NC

Stephanie Renee Howard, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 91 Topwater Dr Apt 104, Clayton, NC 27527 Phone: 984-960-9011
Lynn Ton Zimmers, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Medspring Drive, Suite 100, Clayton, NC 27520 Phone: 919-359-3500 Fax: 919-359-3501
Mrs. Anna Sullivan Bruton, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Healthpark Way Ste 100, Clayton, NC 27520 Phone: 919-585-8850 Fax: 919-585-8869
Mrs. Amanda Bradley Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11491 Us 70 Hwy W, Clayton, NC 27520 Phone: 919-550-2484
Jennifer Esther Gonzalez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12701 Us 70w Business, Clayton, NC 27520 Phone: 919-235-1968
Faben Mulate Ali, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11911 Us 70 Hwy W, Clayton, NC 27520 Phone: 866-389-2727

Ms Tacara Nichole Anderson, APRN, FNP-C - Medicare Nurse Practitioner in Clayton, NC