Individual provider Active NPI

Tamera Waggle, CRNA

  • Certified Registered Nurse Anesthetist
  • Johnstown, PA
National Provider Identifier
1578766648
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN301942L Issued in PA
Practice address
1186 Franklin St.
Johnstown, PA 15905
Phone
(814) 534-9391
Fax
(814) 534-9715
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN301942L PA Primary

Addresses

Primary practice location

1186 Franklin St.
Johnstown, PA 15905

Mailing address

404 W Fairview St
Somerset, PA 15501-1344
Phone (814) 445-4329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000288 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789778887 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grove City Anesthesia and Pain Management, PLLCGroup PAC ID 4688860455, 61 clinicians
Upmc SomersetGroup PAC ID 1355235144, 18 clinicians

Practice addresses (Care Compare)

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9000

225 S Ctr Ave
Upmc Somerset Anesthesiology
Somerset, PA 15501-2033
Phone (814) 443-5596

Hospital & facility affiliations

  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Upmc Somerset Hospital, Somerset, PA, CCN 390039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN301942LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Grove City Anesthesia & Pain Management, PLLC CurrentSince Jan 29, 2022 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Sep 1, 2014 Accepting new patients
Upmc Somerset CurrentSince Dec 4, 2020 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Sep 1, 2014 Accepting new patients
Upmc Somerset CurrentSince Dec 4, 2020 Accepting new patients

Locations

1086 Franklin St
Ste M4000
Johnstown, PA 15905
Phone (814) 534-7560

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

Interoperability endpoints

  • Direct secure messaging: tamera.waggle@upmcdirect.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 4

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1578766648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W FAIRVIEW ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011344",
            "telephone_number": "814-445-4329",
            "fax_number": "814-534-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 FRANKLIN ST.",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15905",
            "telephone_number": "814-534-9391",
            "fax_number": "814-534-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGLE",
        "first_name": "TAMERA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN301942L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.

Verify at the official NPI Registry.