Tara Kristen Agnew, DNP, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Hershey, PA

NPI 1134810211 · NPPES record last updated Oct 15, 2024

Key facts

NPI
1134810211
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
143333 (PA)
Practice address
500 University Drive
Hershey, PA 17033-2360
Phone
(717) 551-6597
NPI assigned
May 18, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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 1

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

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Milton S Hershey Medical Center Physicians Group (1,606 clinicians)

Practice addresses (Care Compare)

500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-5638

Hospital & facility affiliations

  • Milton S Hershey Medical Center Hospital · Hershey, PA · CCN 390256

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100 (group)
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230607000700 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153788153 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
143333PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physician Group Current
since Jun 5, 2023
Accepting new patients
The Milton S Hershey Medical Center Physician Group Current
since Jun 5, 2023
Accepting new patients

Locations

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202

30 Hope Dr
Ste 1300
Hershey, PA 17033
Phone (717) 531-3828

Interoperability endpoints

  • Direct secure messaging: tshipe@direct.psu.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 143333 PA Yes

Addresses

Primary practice location

500 University Drive
Hershey, PA 17033-2360

Mailing address

PO Box 858
MC Ca410
Hershey, PA 17033-0858
Phone (800) 243-1455

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address tshipe@direct.psu.edu

Other providers in Hershey, PA

All providers in Hershey, PA · Certified Registered Nurse Anesthetist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.