Active NPI
Tara Lynn Weirich, CRNA
- Certified Registered Nurse Anesthetist
- Des Peres, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209006957
- Practice address
- 12990 Manchester Rd
Des Peres, MO 63131-1860 - Phone
- (314) 367-1181
- NPI assigned
- Jan 31, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209006957 | IL | Primary |
Addresses
Primary practice location
12990 Manchester Rd
Des Peres, MO 63131-1860
Mailing address
16552 State Highway 109
Dow, IL 62022-3067
Phone (618) 567-3706
Other practice location 1
9515 Holy Cross Ln
Breese, IL 62230-3618
Phone (618) 526-5829
Other practice location 2
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
Other practice location 3
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12990 Manchester Rd
Suite 105
Saint Louis, MO 63131-1860
Phone 31468642004220
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402
Hospital & facility affiliations
- Jersey Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Community Hospital | Current | Accepting new patients | |
| Jersey Community Hospital | Current | Accepting new patients | |
| Eye Anesthesia LLC | Current | Accepting new patients | |
| Jersey Community Hospital District | Current | Accepting new patients | |
| Midwest Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Millennium Anesthesiology Consultants, LLC | Current | Accepting new patients | |
| Jersey Community Hospital | Past | Accepting new patients | |
| Figueroa and Associates Anesthesia Group, LTD. | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
2 Memorial Dr
Alton, IL 62002
Phone (618) 462-0710
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200
12990 Manchester Rd
Saint Louis, MO 63131
Phone (314) 432-6137
12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 686-4200
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f4be81d1-a15e-4e19-9601-5214010ddaac/
- https://fhir-usa.unify.chbase.com/org/jersey-f23a6357
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1528334182
-
- Personal Emergency Response Attendant
- Jerseyville, IL
- NPI 1780609925
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Maryville, IL
- NPI 1710218094
-
- Rural Health Clinic/Center
- Jerseyville, IL
- NPI 1700423696
-
- Family Medicine Physician
- Jerseyville, IL
- NPI 1134163827
-
- Specialist
- Alton, IL
- NPI 1831198357
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1104004134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16552 STATE HIGHWAY 109",
"city": "DOW",
"state": "IL",
"postal_code": "620223067",
"telephone_number": "618-567-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12990 MANCHESTER RD",
"city": "DES PERES",
"state": "MO",
"postal_code": "631311860",
"telephone_number": "314-367-1181"
}
],
"practiceLocations": [
{
"address_1": "9515 Holy Cross Ln",
"address_purpose": "LOCATION",
"city": "Breese",
"state": "IL",
"postal_code": "622303618",
"country_code": "US",
"telephone_number": "618-526-5829",
"fax_number": "618-526-8050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Saint Elizabeth Blvd",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "622691099",
"country_code": "US",
"telephone_number": "618-234-2120",
"fax_number": "618-641-5810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Maple Summit Rd",
"address_purpose": "LOCATION",
"city": "Jerseyville",
"state": "IL",
"postal_code": "620522028",
"country_code": "US",
"telephone_number": "618-498-6402",
"fax_number": "618-498-8439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIRICH",
"first_name": "TARA",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-31",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209006957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Peres, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.