MRS. TARA LYNN PETTIT CRNA, MSN
NPI 1205155223
Nurse Anesthetist, Certified Registered in Camden, NJ
About Mrs. Tara Lynn Pettit Crna, Msn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TARA LYNN PETTIT CRNA, MSN (NPI 1205155223) is an individual nurse anesthetist, certified registered in Camden, New Jersey, licensed in New Jersey (NJ00305300) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Inspira Medical Center Mullica Hill, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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
Mrs. Tara Lynn Pettit Crna, Msn 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
3Medicare enrollment records show Tara Pettit reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Camden, NJ 08103
- Reassigned Medicare billing, New Jersey enrollment
- 164 clinicians in this Medicare group
Philadelphia, PA 19106
- Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
- 60 clinicians in this Medicare group
North Bergen, NJ 07047
- Reassigned Medicare billing, New Jersey enrollment
- 464 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 5
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.
Inspira Medical Center Mullica Hill
Acute Care Hospitals · Mullica Hill, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Pettit's NPI number?
The NPI number for Tara Pettit is 1205155223. It was assigned to this individual provider in the NPPES registry on June 1, 2010. The provider is also known as Ms. Tara Lynn Legates.
Where is Tara Pettit located?
Tara Pettit practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 342-2425.
What is Tara Pettit's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Tara Pettit enrolled in Medicare?
Yes. Tara Pettit 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 Pettit's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Pettit reassigns Medicare benefits to 3 organizations: Chc Pain Management Center, PA (Camden, NJ), Ultracare Anesthesia Partners LLC (Philadelphia, PA) and Parkway Anesthesia Associates LLC (North Bergen, NJ). 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 Pettit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tara Pettit affiliated with any hospitals?
According to CMS data, Tara Pettit is affiliated with Inspira Medical Center Mullica Hill.
When was this NPI record last updated?
The NPPES record for Tara Pettit was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Tara Lynn Pettit, CRNA, MSN · NPI 1205155223
Nurse Anesthetist, Certified Registered physician in Camden, New Jersey. Individual provider, active in the CMS NPPES registry since June 1, 2010.
## Identity
- **NPI:** 1205155223 (Entity type: Individual)
- **Enumerated:** June 1, 2010
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** NJ00305300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 COOPER PLZ, Camden, NJ 08103-1461
- **Phone:** (856) 342-2425
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Chc Pain Management Center, PA (NPI 1538109913, Camden, NJ); Ultracare Anesthesia Partners LLC (NPI 1407236110, Philadelphia, PA); Parkway Anesthesia Associates LLC (NPI 1518319755, North Bergen, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 11, 2018
- **Other identifiers:** Other NJ00305300 (NJ)
---
Source: [NPI Profile](https://npiprofile.com/npi/1205155223) · Data from the CMS NPPES public registry.