Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tara Robertson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1104204122

Mrs. Tara Robertson, FNP-C is a Nurse Practitioner in Mount Sterling, Illinois. Qualified in 2014, 12 years ago. Practices with Riverside Dermatology and Spa LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2015
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1 Dot Way
Mount Sterling, IL 62353-1664
Phone: (217) 773-6060
Fax: (217) 436-6762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209012568 (IL)

Record details

NPI number1104204122
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 11, 2015
Last updated in NPPESMarch 26, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Riverside Dermatology And Spa Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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