Active NPI
Tara L Goossen, CRNP
- Acute Care Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN11030178
- Practice address
- 2 Tampa General Cir
Tampa, FL 33606-3571 - Phone
- (813) 821-8038
- Fax
- (813) 974-0483
- NPI assigned
- Aug 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11030178 | FL | Primary |
| Nurse Practitioner | 363L00000X | SP014217 | PA |
Addresses
Primary practice location
2 Tampa General Cir
Tampa, FL 33606-3571
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038
Other practice location 1
1020 Sansom St
Suite 239
Philadelphia, PA 19107-5002
Phone (215) 955-6844
Other practice location 2
2301 S. Broad Street
1st Floor
Philadelphia, PA 19148-3542
Phone (215) 952-9136
Other practice location 3
4815 Liberty Ave Ste 158
Pittsburgh, PA 15224-2156
Phone (412) 578-1519
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DX811 | Other | FL | BCBS |
| 123569200 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tcepullio274745@direct.ahn.org | ||
| Direct Messaging Address | tgoossen345219@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4202 E Fowler Ave
Tampa, FL 33620-6750
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.12 of 100
- Quality
- 83.29
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.65 of 100
- Quality
- 90.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP014217 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahn Emergency Group of Canonsburg LTD. | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Ahn Emergency Group of Jefferson LTD | Current | Accepting new patients | |
| Tampa Bay Emergency Physicians LLC | Current | Accepting new patients | |
| Ahn Emergency Group of Erie County LTD. | Current | Accepting new patients | |
| Ahn Observation Group LLC | Current | Accepting new patients | |
| Tampa Bay Emergency Physicians-Heartland LLC | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| University Medical Service Association Inc | Past | Accepting new patients |
Locations
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700
13330 Usf Laurel Dr
Fl 3
Tampa, FL 33612
Phone (813) 396-9422
13330 Usf Laurel Dr
Tampa, FL 33612
Phone (813) 396-9478
2 Tampa General Cir
Fl 3
Tampa, FL 33606
Phone (813) 259-0600
3500 E Fletcher Ave
Ste 100
Tampa, FL 33613
Phone (813) 282-8520
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138
565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308
2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1114977428
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1043661408
-
- Emergency Medicine Physician
- Canonsburg, PA
- NPI 1790100154
-
- Emergency Medicine Physician
- Erie, PA
- NPI 1336564798
-
- Emergency Medicine Physician
- Jefferson Hills, PA
- NPI 1235518499
-
- Emergency Medicine Physician
- Jefferson Hills, PA
- NPI 1437814696
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763164800000",
"number": "1033528500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-821-8038",
"fax_number": "813-974-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TAMPA GENERAL CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "813-821-8038",
"fax_number": "813-974-0483"
}
],
"practiceLocations": [
{
"address_1": "1020 Sansom St",
"address_2": "Suite 239",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075002",
"country_code": "US",
"telephone_number": "215-955-6844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 S. Broad Street",
"address_2": "1st Floor",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191483542",
"country_code": "US",
"telephone_number": "215-952-9136",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4815 Liberty Ave Ste 158",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152242156",
"country_code": "US",
"telephone_number": "412-578-1519",
"fax_number": "412-605-6342",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOOSSEN",
"first_name": "TARA",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-08",
"last_updated": "2025-11-15",
"certification_date": "2025-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11030178",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP014217",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "DX811",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123569200",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tcepullio274745@direct.ahn.org",
"affiliation": "N",
"address_1": "4815 Liberty Ave Ste 158",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152242156",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tgoossen345219@direct.tgh.org",
"affiliation": "N",
"address_1": "2 Tampa General Cir",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.