Provider Profile

Tamarra L. Subyantoro, APN

Unclaimed Profile

About Tamarra Subyantoro

Listed in the NPI registry as a nurse practitioner — family, Tamarra L. Subyantoro, APN practices in Peoria, IL. Tamarra is also listed as specializing in nurse practitioner. According to Medicare claims data, Tamarra cared for 437 Medicare patients across 443 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and urinalysis, manual test.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 2019

Specialty

Nurse Practitioner — Family (Primary)
Nurse Practitioner (Additional)

Credentials & Licensing

IL license209019900
NPI1942842018
NPI issued10/10/2019

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Tamarra L. Subyantoro's specialty?

Tamarra L. Subyantoro is a nurse practitioner in Peoria, IL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where can I find Tamarra L. Subyantoro?

Tamarra L. Subyantoro is listed at 5114 N Glen Park Place Rd Ste 110, Peoria, IL 61614. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Tamarra L. Subyantoro?

The number on file is (309) 683-5600. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Tamarra L. Subyantoro's NPI number?

Tamarra L. Subyantoro's National Provider Identifier is 1942842018. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Tamarra L. Subyantoro's education?

Tamarra L. Subyantoro attended Other, graduating in 2019. This comes from the CMS National Downloadable File.

CMS public data

How long has Tamarra L. Subyantoro been practicing?

Tamarra L. Subyantoro has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.

CMS public data

What is Tamarra L. Subyantoro known for?

According to Medicare billing data, Tamarra L. Subyantoro performs procedures including removal of impacted ear wax by washing; provides treatments such as inhalation treatment for airway obstruction or sputum production, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Tamarra L. Subyantoro confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Tamarra L. Subyantoro. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.