TARA ANN DIETRICK R.N., C.R.N.A.
NPI 1528248754
Nurse Anesthetist, Certified Registered in San Francisco, CA
About Tara Ann Dietrick R.n., C.r.n.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA ANN DIETRICK R.N., C.R.N.A. (NPI 1528248754) is an individual nurse anesthetist, certified registered in San Francisco, California, licensed in California (594418) and active in the NPI registry since November 2007. She is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 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
Tara Ann Dietrick R.n., C.r.n.a. 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 Dietrick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94110
- Reassigned Medicare billing, California enrollment
- 842 clinicians in this Medicare group
San Francisco, CA 94116
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Alameda, CA 94501
- Reassigned Medicare billing, California enrollment
- 900 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94110 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.
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
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 Dietrick's NPI number?
The NPI number for Tara Dietrick is 1528248754. It was assigned to this individual provider in the NPPES registry on November 5, 2007. The provider is also known as Tara Ann Payne Rn.
Where is Tara Dietrick located?
Tara Dietrick practices at 1001 Potrero Ave, San Francisco, CA 94110. The listed phone number is (415) 206-8134.
What is Tara Dietrick's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Tara Dietrick enrolled in Medicare?
Yes. Tara Dietrick 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 Dietrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Dietrick reassigns Medicare benefits to 3 organizations: University Of California Sfgh Medical Group (San Francisco, CA), Permanente Medical Group Inc (San Francisco, CA) and Alameda Health System (Alameda, CA). 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 Dietrick'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 Dietrick was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Ann Dietrick, R.N., C.R.N.A. · NPI 1528248754
Nurse Anesthetist, Certified Registered physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since November 5, 2007.
## Identity
- **NPI:** 1528248754 (Entity type: Individual)
- **Enumerated:** November 5, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 594418 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 POTRERO AVE, San Francisco, CA 94110-3518
- **Phone:** (415) 206-8134
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of California Sfgh Medical Group (NPI 1174598296, San Francisco, CA); Permanente Medical Group Inc (NPI 1841373800, San Francisco, CA); Alameda Health System (NPI 1124446158, Alameda, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1528248754) · Data from the CMS NPPES public registry.