Tamarra Subyantoro, APN
NPI 1942842018 · Family Nurse Practitioner · Peoria, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tamarra Subyantoro, APN is a Family Nurse Practitioner provider in Peoria, IL (NPI 1942842018).
Provider details
- NPI number
- 1942842018
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- 209019900 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
424 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 184 | $102 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 107 | $73 |
| Urinalysis, Manual Test81002 | 54 | $3 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 28 | $143 |
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen87635 | 17 | $50 |
| Inhalation Treatment for Airway Obstruction Or Sputum Production94640 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 94 | 94 |
| Cephalexin | 64 | 62 |
| Doxycycline Hyclate | 27 | 27 |
| Mupirocin | 25 | 25 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 23 | 23 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 20 | 20 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-10-10
- Last updated
- 2024-09-27
- Certified
- 2024-09-27
Frequently asked questions
- What is Tamarra Subyantoro's NPI number?
- Tamarra Subyantoro's National Provider Identifier (NPI) is 1942842018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tamarra Subyantoro's specialty?
- Tamarra Subyantoro is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tamarra Subyantoro located?
- Tamarra Subyantoro's practice location on file with NPPES is 5114 N Glen Park Place Rd Ste 110, Peoria, IL 61614-4686.
- What is Tamarra Subyantoro's phone number?
- The practice phone number listed in the NPPES registry for Tamarra Subyantoro is (309) 683-5600.
- Does Tamarra Subyantoro accept Medicare?
- Tamarra Subyantoro is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tamarra Subyantoro's NPI active?
- Yes — Tamarra Subyantoro's NPI (1942842018) is active in the NPPES registry as of the last update on 2024-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.