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

Tara Rae Sandusky, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1063069326

Tara Rae Sandusky, APRN is a Nurse Practitioner in Fort Smith, Arkansas. Qualified in 2012, 14 years ago. Practices with Pain Treatment Centers of America PLLC, a 72-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
14
Licensed in
AR
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone: (479) 441-5005
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 121897 (AR)

Record details

NPI number1063069326
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 21, 2019
Last updated in NPPESSeptember 5, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pain Treatment Centers Of America Pllc — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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