TAMERA WAGGLE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1578766648

TAMERA WAGGLE (CRNA) is a healthcare provider. based in Johnstown, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN301942L (PA). The NPI Number for TAMERA WAGGLE (CRNA) is 1578766648

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
TAMERA WAGGLE (CRNA)
NPI
1578766648
Phone
(814) 534-9391
Address
1186 FRANKLIN ST.
Enumeration Date
7 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8144435596
Graduation Year
2006 (20 years ago)
PAC ID
4789778887
Group Practice PAC ID
1355235144
Professional Enrollment ID
I20070920000288
Address ID
PA155012033SO225XXAVEX423
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,264 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

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Provider Addresses for TAMERA WAGGLE (CRNA)

  • 1186, Franklin Street, Johnstown, Cambria County, Pennsylvania, 15905, United States

    JOHNSTOWN, PA 15905

    Phone: (814) 534-9391

    Fax: (814) 534-9715

    Type: Location

  • 404, West Fairview Street, Somerset, Somerset County, Pennsylvania, 15501, United States

    SOMERSET, PA 155011344

    Phone: (814) 445-4329

    Fax: (814) 534-9715

    Type: Mailing

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: 2007-09-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
I20070920000288ICertified Registered Nurse Anesthetist (Crna)PATBD

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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15905)

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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: 1355235144View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
P A T H O L O G YPA
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

How do payers reference TAMERA WAGGLE (CRNA)?
For TAMERA WAGGLE (CRNA), use NPI 1578766648 as the unique 10-digit identifier.
Is TAMERA WAGGLE (CRNA) still an active registrant?
TAMERA WAGGLE (CRNA) carries an active NPI according to the public dataset.
What area of care is associated with TAMERA WAGGLE (CRNA)?
TAMERA WAGGLE (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is TAMERA WAGGLE (CRNA) registered?
Use Johnstown, Pennsylvania as the headline location for TAMERA WAGGLE (CRNA) here.
When was this NPI issued?
Enumeration for TAMERA WAGGLE (CRNA) is noted as June 7, 2007 where the registry provides it.

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