NPIMap

Individual provider Active NPI

Tara Roa, PA

  • Physician Assistant
  • Hays, KS
National Provider Identifier
1043286933
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00907 Issued in KS
Practice address
2214 Canterbury Dr
Suite 202
Hays, KS 67601-2375
Phone
(785) 623-2312
Fax
(785) 623-2323
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-00907 KS Primary

Addresses

Primary practice location

2214 Canterbury Dr
Suite 202
Hays, KS 67601-2375

Mailing address

2214 Canterbury Dr Ste 202
Hays, KS 67601-2375
Phone (785) 623-2312

Other practice location 1

3216 Vine St Ste 20
Hays, KS 67601-1988
Phone (785) 261-7065

Other identifiers 1

IdentifierTypeStateIssuer
100644070AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000132 KS Practitioner - Physician Assistant 1153310255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2214 Canterbury Dr
Hays, KS 67601-2375

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 650-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-00907KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center Inc CurrentSince Sep 2, 2003 Accepting new patients
Hays Medical Center, Inc CurrentSince Sep 2, 2003 Accepting new patients
Hays Medical Center, Inc. Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2214 Canterbury Dr
Ste 202
Hays, KS 67601
Phone (785) 261-7672

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

3216 Vine St
Ste 20
Hays, KS 67601
Phone (785) 261-7065

Interoperability endpoints

  • Direct secure messaging: tara.roa@haysmeddirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1043286933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR STE 202",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012375",
            "telephone_number": "785-623-2312",
            "fax_number": "785-623-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR",
            "address_2": "SUITE 202",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012375",
            "telephone_number": "785-623-2312",
            "fax_number": "785-623-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3216 Vine St Ste 20",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676011988",
            "country_code": "US",
            "telephone_number": "785-261-7065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROA",
        "first_name": "TARA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100644070A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.