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

Individual provider Family Nurse Practitioner · NPI 1043782634

Alisa Tarasova, FNP is a Nurse Practitioner in Chickasha, Oklahoma. Qualified in 2018, 8 years ago. Practices with Ennoble Hc Nj PC, a 127-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2018
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

304 S 29th St
Chickasha, OK 73018-2501
Phone: (058) 968-0584
Fax: (855) 223-1999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R0120108 (OK)

Record details

NPI number1043782634
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 20, 2018
Last updated in NPPESNovember 21, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ennoble Hc Nj Pc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients45
Services billed 701 a service is one billed item, such as a visit, a test or a procedure
Average patient age54

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Ennoble Hc Nj PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 127 clinicians in the practice; 12 are shown here.

Other providers in Chickasha