Individual provider Active NPI

Tara I McKenna, APRN

  • Family Nurse Practitioner
  • Wolfeboro, NH
National Provider Identifier
1417348558
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
054907-23 Issued in NH
Practice address
240 S Main St Ste a
Wolfeboro, NH 03894-4455
Phone
(603) 569-7574
Fax
(603) 569-7582
NPI assigned
Feb 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 054907-23 NH Primary

Addresses

Primary practice location

240 S Main St Ste a
Wolfeboro, NH 03894-4455

Mailing address

240 S Main St
Wolfeboro, NH 03894-4455
Phone (603) 569-7574

Other practice location 1

240 S Main St Ste C
Wolfeboro, NH 03894-4411
Phone (603) 569-7620

Other identifiers 1

IdentifierTypeStateIssuer
3100493MedicaidNH

Other names 1

  • Tara F Roy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://hugginshospitalxdr.meditech.cloud/services/HUGMA/HUGLIVE2402N/MAASLIVE/DIR Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150422001500 NH Practitioner - Nurse Practitioner 3577881572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
65.17 of 100Reported as group
Quality
47.69
Improvement activities
40
Cost
79.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huggins Hospital CurrentSince May 7, 2023 Accepting new patients
Huggins Hospital Current Accepting new patients
Catholic Medical Center Current Accepting new patients
Huggins Hospital Past Accepting new patients

Locations

27 New Durham Rd
Alton, NH 03809
Phone (603) 875-6151

984 Whittier Hwy
Moultonborough, NH 03254
Phone (603) 476-2216

3 Water Village Rd
Ossipee, NH 03864
Phone (603) 539-6996

131 Meadow St
Sanbornville, NH 03872
Phone (603) 522-5010

577 White Mountain Hwy
Tamworth, NH 03886
Phone (603) 323-3311

240 S Main St
Ste C
Wolfeboro, NH 03894
Phone (603) 569-7620

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

240 S Main St
Ste J
Wolfeboro, NH 03894
Phone (603) 569-7588

240 S Main St
Ste A
Wolfeboro, NH 03894
Phone (603) 569-7500

Interoperability endpoints

  • Direct secure messaging: taramckenna@gohnh.allscriptsdirect.net
  • Direct secure messaging: taramckenna@huggins.medalliesdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1417348558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944455",
            "telephone_number": "603-569-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST STE A",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944455",
            "telephone_number": "603-569-7574",
            "fax_number": "603-569-7582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 S Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Wolfeboro",
            "state": "NH",
            "postal_code": "038944411",
            "country_code": "US",
            "telephone_number": "603-569-7620",
            "fax_number": "603-569-7619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "TARA",
        "middle_name": "I",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "054907-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100493",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hugginshospitalxdr.meditech.cloud/services/HUGMA/HUGLIVE2402N/MAASLIVE/DIR",
            "affiliation": "N",
            "endpointDescription": "Primary XD Endpoint",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "240 S Main St Ste C",
            "city": "Wolfeboro",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038944411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "ROY",
            "middle_name": "F",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.