Tara Wulff Bolka, FNP-C
NPI 1558894329ActiveIndividual· Nurse Practitioner, Family· La Grande, OR
Nurse Practitioner, Family (FNP-C) with Independence Emergency Group LLC, practicing in La Grande, Oregon. 52 Medicare patients in 2024, $4,000 paid; nearly all of their 194 Part D prescriptions were generic (94%). Lists East Jefferson General Hospital as a hospital affiliation.
Overview
| NPI | 1558894329 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | Apr 7, 2017 |
| Last updated in NPPES | Mar 6, 2024 |
| Certified by provider | Mar 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 201910351NP-PP | OR |
| Nurse Practitioner, Family | 363LF0000X | 1-089967 | AL |
| Nurse Practitioner, Family | 363LF0000X | 203981 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AL); Practitioner - Nurse Practitioner (LA); Practitioner - Nurse Practitioner (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 60 across 7 procedure codes |
| Paid by Medicare | $4,000 |
Part D prescriptions in 2024
| Prescriptions (claims) | 194 · 196 30-day fills |
|---|---|
| Patients | 125 |
| Total drug cost | $1,941 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Independence Emergency Group LLCNew Orleans, LA · 21 clinicians
Hospital affiliation
- East Jefferson General HospitalMetairie, LA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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