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

Tamara Copeland

Individual provider Nurse Practitioner · NPI 1295192805

Tamara Copeland is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2015, 11 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2 Good Samaritan Way Ste 420
Mount Vernon, IL 62864-2478
Phone: (618) 899-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 N Pleasant Ave, Centralia, IL 62801-3006 — (618) 436-7536

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.013446 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 1295192805 (IL)

Record details

NPI number1295192805
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2016
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020
Mailing addressPo Box 955860, Saint Louis, MO 63195-2478

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Physician Services Corporation Of Southern Illinois Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mount Vernon