Tara R. Henthorn
NPI 1811530603ActiveIndividual· Nurse Practitioner, Family· Chickasha, OK
Nurse Practitioner, Family with Williams Medical Group Practice LLC and 1 other group, practicing in Chickasha, Oklahoma. 295 Medicare patients in 2024, $19,523 paid; nearly all of their 575 Part D prescriptions were generic (95%).
Overview
| NPI | 1811530603 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 24, 2019 |
| Last updated in NPPES | Dec 20, 2023 |
| Certified by provider | Dec 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 102945 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OK); Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 295 |
|---|---|
| Services billed | 682 across 32 procedure codes |
| Paid by Medicare | $19,523 |
Part D prescriptions in 2024
| Prescriptions (claims) | 575 · 578 30-day fills |
|---|---|
| Patients | 408 |
| Total drug cost | $6,322 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Williams Medical Group Practice LLCEnid, OK · 218 clinicians
- Medical Resource Management LLCNewcastle, OK · 52 clinicians
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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