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

Tara Jo Rudisill, PA-C

Individual provider Physician Assistant · NPI 1982971719

Tara Jo Rudisill, PA-C is a Physician Assistant in Bloomington, Indiana. Qualified in 2011, 15 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Virginia.

Years since qualifying
15
Licensed in
IN, VA
In the registry since
2011
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

2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Phone: (812) 333-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 417 N 11th St, Richmond, VA 23298-5002 — (804) 828-9165

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110004072 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 10001346A (IN)

Record details

NPI number1982971719
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 22, 2011
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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