TARA LORD GROGAN CRNP
NPI 1114680808
Nurse Practitioner in Philadelphia, PA

Q: What is Tara Grogan's NPI number?

The NPI number for Tara Grogan is 1114680808. It was assigned to this individual provider in the NPPES registry on October 19, 2021. The provider is also known as Tara Patrice Lord.

Q: What is Tara Grogan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Grogan was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 19, 2021PECOS EnrolledAccepts Medicare Assignment

85.48/100

CMS Quality Rating

3400 CIVIC CENTER BLVD FL 3, PHILADELPHIA, PA 19104(215) 316-5151 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2026, Oct 19, 2021 (2 updates tracked since 2021).

On this page

About Tara Lord Grogan Crnp NPPES

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

TARA LORD GROGAN CRNP (NPI 1114680808) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP024598) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114680808

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTARA LORD GROGANCredential: CRNP

Location Address3400 CIVIC CENTER BLVD FL 3Philadelphia, PA 19104-5127

Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935

Phone(215) 316-5151

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 19, 2021

Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1114680808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in PA · SP024598✔ Licensed in NJ · 26NJ15079500

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3400 CIVIC CENTER BLVD FL 3, Philadelphia, PA 19104

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Other Names 1

Former Name (1)Tara Patrice Lord

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

Tara Lord Grogan Crnp 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 ID143618686

PECOS Enrollment IDI20211102002066, I20260413000852

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.6

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

ANDREA CAROLINA YEGUEZ

Student in an Organized Health Care Education/Training Program