Tara Wulff Bolka, FNP-C - Medicare Nurse Practitioner in La Grande, OR

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Tara Wulff Bolka, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in La Grande, Oregon. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Independence Emergency Group Llc and her current practice location is 506 4th St, La Grande, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 663-3138.

Tara Wulff Bolka is licensed to practice in Oregon (license number 201910351NP-PP) 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 1558894329.

Contact Information

Tara Wulff Bolka, FNP-C
506 4th St,
La Grande, OR 97850-1906
(541) 663-3138
(541) 975-5120

Map and Direction




Provider's Profile

Full NameTara Wulff Bolka
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location506 4th St, La Grande, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tara Wulff Bolka graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1558894329
  • Provider Enumeration Date: 04/07/2017
  • Last Update Date: 03/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012287485
  • Enrollment ID: I20230803004258

Medical Identifiers

Medical identifiers for Tara Wulff Bolka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558894329NPI-NPPES
500773203MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-089967 (Alabama)Secondary
363LF0000XNurse Practitioner - Family 203981 (Louisiana)Secondary
363LF0000XNurse Practitioner - Family 201910351NP-PP (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tulane Medical CenterNew orleans, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Independence Emergency Group Llc428475932520

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. Tara Wulff Bolka allows following entities to bill medicare on her behalf.
Entity NameChildren's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043230873
PECOS PAC ID: 3971401944
Enrollment ID: O20031229000715
Entity NameIndependence Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528384773
PECOS PAC ID: 4284759325
Enrollment ID: O20100914000327
Entity NameFoucher Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871879007
PECOS PAC ID: 8729254073
Enrollment ID: O20120109000197
Entity NameSt. Bernard Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306386685
PECOS PAC ID: 4789960972
Enrollment ID: O20170425001231

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. Tara Wulff Bolka 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 AddressPractice Location Address
Tara Wulff Bolka, FNP-C
Po Box 3290,
La Grande, OR 97850-7290

Ph: (541) 663-7313		Tara Wulff Bolka, FNP-C
506 4th St,
La Grande, OR 97850-1906

Ph: (541) 663-3138

Reviews and Comments


Nurse Practitioner Nurses in La Grande, OR

Jennifer Marie Province,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 University Blvd, La Grande, OR 97850
Phone: 541-962-3803    
Dr. Pamela M Mcwhirter, DNP, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 700 Sunset Dr, La Grande, OR 97850
Phone: 541-663-3030    Fax: 541-975-5201
Linda Maureen Chernoff,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1807 Cove Ave, La Grande, OR 97850
Phone: 541-663-9008    
Dr. Gary Robert Laustsen, FNP, PHD
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 University Blvd, La Grande, OR 97850
Phone: 541-962-3132    
Heather Wiggins, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 University Blvd, La Grande, OR 97850
Phone: 541-962-3825    
Scott Alden Widener, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 900 Sunset Dr, La Grande, OR 97850
Phone: 541-963-1412    Fax: 541-963-1488
Jacqui Kleeman, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 101 Depot St, La Grande, OR 97850
Phone: 541-963-3772    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.