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

Tara Leanne Billingslea

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1477275113

Tara Leanne Billingslea is a Nurse Practitioner in Bolivar, Missouri. Qualified in 2022, 4 years ago. Practices with Citizens Memorial Healthcare, a 145-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022

Practice location Address checks out

1500 N Oakland Ave
Bolivar, MO 65613-3099
Phone: (417) 326-6000
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 2022034191 (MO)

Record details

NPI number1477275113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2022
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Citizens Memorial Healthcare — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Bolivar