Tara Wagner, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3018825 Issued in KY

Practice address

1210 Ky Hwy 36 E
Cynthiana, KY 41031

Phone

(859) 234-2300

NPI assigned

Nov 7, 2022

Last updated

Jan 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

University of Kentucky College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harrison Memorial HospitalGroup PAC ID 8628961018, 21 clinicians

Harrison Memorial HospitalGroup PAC ID 4284784067, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of the Bluegrass, Inc Dba Bluegrass Care N Hospice, Lexington, KY, CCN 181500
• Harrison Memorial Hospital Hospital, Cynthiana, KY, CCN 180079

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harrison Memorial Hospital

  • Clinic/Center
  • Cynthiana, KY
  • NPI 1386783868

  Family

  Medicare reassignment Care Compare group NPD
• Harrison Memorial Hospital Inc

  dba HMH Physician Group

  • Multi-Specialty Clinic/Center
  • Cynthiana, KY
  • NPI 1669615233

  Family

  Medicare reassignment Care Compare group NPD
• Harrison Memorial Hospital

  dba HMH Primary Care

  • Rural Health Clinic/Center
  • Cynthiana, KY
  • NPI 1588237150
  NPD

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

• Harrison Memorial Hospital

  • General Acute Care Hospital
  • Cynthiana, KY
  • NPI 1629084702
  Care Compare affiliation
• Hospice of the Bluegrass, Inc

  dba Bluegrass Care Navigators

  • Community Based Hospice Care Agency
  • Lexington, KY
  • NPI 1861538209
  Care Compare affiliation

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1750099008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317498",
            "telephone_number": "859-234-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HWY 36 E",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "41031",
            "telephone_number": "859-234-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "TARA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-State Centers for Sight Inc (Kentucky Eye Institute)
• Trilogy Healthcare of Cynthiana, LLC (Cedar Ridge Health Campus)
• Up Up and Play LLC
• Urologic Associates Cynthiana
• Junie L Vallandingham
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0591)
• Wal-Mart Stores East, L.P. (Vision Center 0591)
• Walgreen Co (Walgreens #19673)
• Nancy Judy Walker, RPH
• Mikalah Andree Ward, MD

• Family Nurse Practitioner in Cynthiana, KY
• Providers in Cynthiana, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.