TARA L MAHONEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1750472163

TARA L MAHONEY (CRNA) is a healthcare provider. based in Prairie du sac, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 117626 (WI). The NPI Number for TARA L MAHONEY (CRNA) is 1750472163

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
TARA L MAHONEY (CRNA)
NPI
1750472163
Phone
(608) 643-3311
Address
80 1ST ST
Enumeration Date
28 September 2006
Last Update Date
25 July 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6086437171
Graduation Year
2006 (20 years ago)
PAC ID
1456359512
Group Practice PAC ID
8224948054
Professional Enrollment ID
I20061128000193
Address ID
WI535782203PR260XXSTXX300
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

1,148 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

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Provider Addresses for TARA L MAHONEY (CRNA)

  • 80, 1st Street, Downtown, Village of Prairie du Sac, Sauk County, Wisconsin, 53578, United States

    PRAIRIE DU SAC, WI 535781550

    Phone: (608) 643-3311

    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: 2006-11-28

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
I20061128000193ICertified Registered Nurse Anesthetist (Crna)WITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64448Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter4847$0
01402Anesthesia for procedure for total knee joint replacement4242$0
00812Anesthesia for exam of colon using an endoscope2424$0
01214Anesthesia for total hip replacement1616$0
00142Anesthesia for lens surgery1313$0
View full utilization report →

Insurance plans in this area (ZIP 53578)

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Provider's Procedures

TARA L MAHONEY (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETWI00142Anesthesia for lens surgery1815

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: 8224948054View full group profile
NameSpecialtyState
Physician AssistantWI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Physician AssistantWI
Nurse PractitionerWI
Physician AssistantWI
Certified Registered Nurse Anesthetist (Crna)WI
-WI
Physician AssistantWI

Reviews

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Frequently asked questions

What identifier follows TARA L MAHONEY (CRNA) across health systems?
The NPI 1750472163 uniquely identifies TARA L MAHONEY (CRNA) in U.S. healthcare data.
Should I treat TARA L MAHONEY (CRNA) as an active provider?
Patients and plans typically see TARA L MAHONEY (CRNA) as active in the national extract.
What type of care does TARA L MAHONEY (CRNA) provide?
TARA L MAHONEY (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is TARA L MAHONEY (CRNA) tied to Prairie Du Sac, Wisconsin?
If you are local to Prairie Du Sac, Wisconsin, TARA L MAHONEY (CRNA) may be relevant to your search.
Why is information missing for TARA L MAHONEY (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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