TARA LYNN WEIRICH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104004134
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL
Provider Addresses for TARA LYNN WEIRICH (CRNA)
9515 Holy Cross Ln
Breese, IL 622303618
Phone: (618) 526-5829
Fax: (618) 526-8050
Type: Location
1 Saint Elizabeth Blvd
O Fallon, IL 622691099
Phone: (618) 234-2120
Fax: (618) 641-5810
Type: Location
400 Maple Summit Rd
Jerseyville, IL 620522028
Phone: (618) 498-6402
Fax: (618) 498-8439
Type: Location
12990, Manchester Road, Des Peres, Saint Louis County, Missouri, 63131, United States
DES PERES, MO 631311860
Phone: (314) 367-1181
Type: Location
109, Campo Novo, Região Geográfica Imediata de Três Passos, Região Geográfica Intermediária de Ijui, Rio Grande do Sul, South Region, Brazil
DOW, IL 620223067
Phone: (618) 567-3706
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-01-26 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fisher & Paykel Healthcare Inc | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080213000124 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20151110003054 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 94 | 76 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 54 | 51 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 39 | 39 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 27 | 27 | $0 |
Insurance plans in this area (ZIP 62230)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | MO | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 12 | 12 |
| CERTIFIED REGISTERED NURSE ANESTHET | MO | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | NY | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Cardiovascular Disease (Cardiology) | MO | |
| - | NC | |
| Family Practice | IL | |
| Nurse Practitioner | IL |
Reviews
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