MRS. TARA C JERNEJCIC PA-C
NPI 1104809342
Physician Assistant - Medical in Thurmont, MD

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
100 S CENTER ST, THURMONT, MD 21788(301) 696-8801(301) 696-0186 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2025, Dec 10, 2015 (2 updates tracked since 2015).

About Mrs. Tara C Jernejcic Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TARA C JERNEJCIC PA-C (NPI 1104809342) is an individual medical provider in Thurmont, Maryland, licensed in Maryland (C005418) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1104809342
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. TARA C JERNEJCICCredential: PA-C
Location Address100 S CENTER STThurmont, MD 21788-1945
Mailing Address100 S Center StThurmont, MD 21788-1945 · (301) 696-8801 · Fax (301) 696-0186
Fax(301) 696-0186
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 22, 2005
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
NPI 1104809342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MD · C005418
100 S CENTER ST, Thurmont, MD 21788

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tara C Jernejcic Pa-c 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.

PECOS PAC ID6709775117
PECOS Enrollment IDI20141215001487
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
100 S CENTER ST
THURMONT, MD 21788
Nurse Practitioner (Family)
100 S CENTER ST
THURMONT, MD 21788
Family Medicine
100 S CENTER ST
THURMONT, MD 21788
Family Medicine
100 S CENTER ST
THURMONT, MD 21788
Family Medicine
100 S CENTER ST
THURMONT, MD 21788
Family Medicine
100 S CENTER ST
THURMONT, MD 21788
Physician Assistant
100 S CENTER ST, CATOCTIN MEDICAL GROUP
THURMONT, MD 21788

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 Jernejcic's NPI number?

The NPI number for Tara Jernejcic is 1104809342. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Tara Jernejcic located?

Tara Jernejcic practices at 100 S Center St, Thurmont, MD 21788. The listed phone number is (301) 696-8801.

What is Tara Jernejcic's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tara Jernejcic enrolled in Medicare?

Yes. Tara Jernejcic 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.

When was this NPI record last updated?

The NPPES record for Tara Jernejcic was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.