| Tara Marie Nordberg, FNP | |
|
17230 Jackson Creek Pkwy Ste 300, Monument, CO 80132-7306 | |
| (719) 571-7000 | |
| (719) 571-7059 |
| Full Name | Tara Marie Nordberg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 17230 Jackson Creek Pkwy Ste 300, Monument, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104585744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN.0996939-NP (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Home Care And Hospice | Minneapolis, MN | Home health agency |
| Fairview Ridges Hospital | Burnsville, MN | Hospital |
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Clinics | 7113830142 | 736 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Marie Nordberg, FNP Po Box 800022, Kansas City, MO 64180-0022 Ph: (800) 953-0104 | Tara Marie Nordberg, FNP 17230 Jackson Creek Pkwy Ste 300, Monument, CO 80132-7306 Ph: (719) 571-7000 |
Ms. Jeannee L. Sanders, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17230 Jackson Creek Pkwy Ste 260, Monument, CO 80132 Phone: 719-776-4740 Fax: 719-776-4750 | |
Jennifer Kahan, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18515 Peaceful Pines Rd, Monument, CO 80132 Phone: 720-490-2071 | |
Hae Kyoung Lemos, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 772 Piney Ridge Way, Monument, CO 80132 Phone: 719-661-2415 | |
Mrs. Tamela Jean Boulter, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1480 Lone Scout Lookout, Monument, CO 80132 Phone: 719-481-8569 | |
Wendy Lynn Quinn, RNC,MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20055 Loftypine Ln, Monument, CO 80132 Phone: 719-488-3431 | |
Kori L Schulte, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 W Highway 105, Monument, CO 80132 Phone: 719-867-7800 Fax: 719-867-7899 |