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DR. TARA KRUEGER PSY.D.
NPI 1295168847
Psychologist - Clinical in Rohnert Park, CA

Active since August 19, 2013PECOS Enrolled
7452 WENDY DR, ROHNERT PARK, CA 94928(714) 749-2889 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tara Krueger Psy.d. NPPES

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

DR. TARA KRUEGER PSY.D. (NPI 1295168847) is an individual clinical provider in Rohnert Park, California, licensed in California (PSY29586) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295168847
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TARA KRUEGERCredential: PSY.D.
Location Address7452 WENDY DRRohnert Park, CA 94928-4096
Mailing Address7452 Wendy DrRohnert Park, CA 94928-4096
Phone(714) 749-2889
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 19, 2013
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1295168847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY29586
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
7452 WENDY DR, Rohnert Park, CA 94928
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tara Krueger Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628565843
PECOS Enrollment IDI20251013002080
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.

Medicare Billing Reassignment

Medicare enrollment records show Tara Krueger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
27 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94928 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
$187.01 typical visit price
range $63.04 – $187.01
Typical copayment $46.75 (range $15.76 – $46.75)
Most-billed visit code 99205
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

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 Krueger's NPI number?

The NPI number for Tara Krueger is 1295168847. It was assigned to this individual provider in the NPPES registry on August 19, 2013.

Where is Tara Krueger located?

Tara Krueger practices at 7452 Wendy Dr, Rohnert Park, CA 94928. The listed phone number is (714) 749-2889.

What is Tara Krueger's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tara Krueger enrolled in Medicare?

Yes. Tara Krueger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Krueger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Krueger reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The 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 Krueger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tara Krueger was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.