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

Tara Fleeman

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124838065

Tara Fleeman is a Nurse Practitioner in Salem, Illinois. Qualified in 2025, 1 year ago. Practices with Salem Township Hospital, a 26-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1201 Ricker Rd
Salem, IL 62881-4263
Phone: (618) 548-3194
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209032543 (IL)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 041336663 (IL)

Record details

NPI number1124838065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address1201 Ricker Rd, Salem, IL 62881-4263

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Salem Township Hospital — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare