TASHA WAAGE (CNP) – Family Nurse Practitioner, NPI 1306250402

TASHA WAAGE (CNP) is a healthcare provider. based in Deer river, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. R205269-0 (MN). The NPI Number for TASHA WAAGE (CNP) is 1306250402

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TASHA WAAGE (CNP)
NPI
1306250402
Phone
(218) 246-8275
Address
115 10TH AVE NE STE A
Enumeration Date
17 June 2014
Last Update Date
17 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2189997000
Graduation Year
2014 (12 years ago)
PAC ID
6103046719
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20141002001652
Address ID
MN557443537GR1542XRDXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for TASHA WAAGE (CNP)

  • 115 10TH AVE NE STE A

    DEER RIVER, MN 566368795

    Phone: (218) 246-8275

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (954 days ago).

Enrollment records

1

Earliest due date

2023-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141002001652INurse PractitionerMN2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12961$0
36415Insertion of needle into vein for collection of blood sample7852$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3131$0
99213Established patient office or other outpatient visit, 20-29 minutes2823$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test2624$0
View full utilization report →

Insurance plans in this area (ZIP 56636)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

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Frequently asked questions

Where can patients find TASHA WAAGE (CNP)'s NPI?
You can confirm TASHA WAAGE (CNP) with NPI 1306250402; it appears in the national provider directory.
Is TASHA WAAGE (CNP)'s NPI currently valid?
The extract we use shows TASHA WAAGE (CNP) as active.
What kind of provider is TASHA WAAGE (CNP)?
The page reflects Family Nurse Practitioner for TASHA WAAGE (CNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for TASHA WAAGE (CNP)?
The page summarizes Deer River, Minnesota for TASHA WAAGE (CNP); expand the address list for detail.
What if Deer River, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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