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

Tara Cole Nikodem, PA-C

Individual provider Surgical Physician Assistant · NPI 1720322654

Tara Cole Nikodem, PA-C is a Physician Assistant in Naperville, Illinois. Qualified in 2012, 14 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1948 Three Farms Ave
Naperville, IL 60540-1105
Phone: (630) 355-5633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 E Ontario St, Chicago, IL 60611-3468 — (312) 694-7000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085004540 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085.004540 (IL)

Record details

NPI number1720322654
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Naperville