TARA LYNN WEIRICH CRNA
NPI 1104004134
Nurse Anesthetist, Certified Registered in Des Peres, MO
About Tara Lynn Weirich Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA LYNN WEIRICH CRNA (NPI 1104004134) is an individual nurse anesthetist, certified registered in Des Peres, Missouri, licensed in Illinois (209006957) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Jersey Community Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tara Lynn Weirich Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Tara Weirich reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63131
- Reassigned Medicare billing, Missouri enrollment
- 69 clinicians in this Medicare group
Saint Louis, MO 63136
- Reassigned Medicare billing, Illinois and Missouri enrollments
- Medicare enrollment name: Midwest Anesthesia Providers Sc
- 253 clinicians in this Medicare group
Saint Louis, MO 63136
- Reassigned Medicare billing, Illinois enrollment
- 22 clinicians in this Medicare group
Maryville, IL 62062
- Reassigned Medicare billing, Illinois enrollment
- 42 clinicians in this Medicare group
Jerseyville, IL 62052
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Jersey Community Hospital
- 61 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jersey Community Hospital
Acute Care Hospitals · Jerseyville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63131
DES PERES, MO 63131
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tara Weirich's NPI number?
The NPI number for Tara Weirich is 1104004134. It was assigned to this individual provider in the NPPES registry on January 31, 2008.
Where is Tara Weirich located?
Tara Weirich practices at 12990 Manchester Rd, Des Peres, MO 63131. The listed phone number is (314) 367-1181.
What is Tara Weirich's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Tara Weirich enrolled in Medicare?
Yes. Tara Weirich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tara Weirich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Weirich reassigns Medicare benefits to 5 organizations: Eye Anesthesia LLC (Saint Louis, MO), Midwest Anesthesia Providers S.C (Saint Louis, MO), Midwest Anesthesia Associates, P.C. (Saint Louis, MO), Millennium Anesthesiology Consultants, LLC (Maryville, IL) and Jersey Community Hospital District (Jerseyville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Weirich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tara Weirich affiliated with any hospitals?
According to CMS data, Tara Weirich is affiliated with Jersey Community Hospital.
When was this NPI record last updated?
The NPPES record for Tara Weirich was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tara Lynn Weirich, CRNA · NPI 1104004134
Nurse Anesthetist, Certified Registered physician in Des Peres, Missouri. Individual provider, active in the CMS NPPES registry since January 31, 2008.
## Identity
- **NPI:** 1104004134 (Entity type: Individual)
- **Enumerated:** January 31, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209006957 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 12990 MANCHESTER RD, Des Peres, MO 63131-1860
- **Phone:** (314) 367-1181
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Eye Anesthesia LLC (NPI 1528334182, Saint Louis, MO); Midwest Anesthesia Providers S.C (NPI 1295189082, Saint Louis, MO); Midwest Anesthesia Associates, P.C. (NPI 1558719617, Saint Louis, MO); Millennium Anesthesiology Consultants, LLC (NPI 1710218094, Maryville, IL); Jersey Community Hospital District (NPI 1134163827, Jerseyville, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104004134) · Data from the CMS NPPES public registry.