TARA SEKLE PETTUS
NPI 1588337232
Nurse Anesthetist, Certified Registered in Sacramento, CA

Q: What is Tara Pettus's NPI number?

The NPI number for Tara Pettus is 1588337232. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Q: What is Tara Pettus's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Pettus was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 28, 2021Accepts Medicare Assignment

4301 X ST, SACRAMENTO, CA 95817(916) 734-5028 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Tara Sekle Pettus NPPES

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

TARA SEKLE PETTUS (NPI 1588337232) is an individual nurse anesthetist, certified registered in Sacramento, California, licensed in California (95002263) and active in the NPI registry since July 2021. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1588337232

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameTARA SEKLE PETTUS

Location Address4301 X STSacramento, CA 95817-2214

Mailing Address4301 X StSacramento, CA 95817-2214 · (210) 323-7549

Phone(916) 734-5028

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 28, 2021

Last NPPES UpdateJanuary 16, 2024

NPPES CertifiedJanuary 16, 2024

✔ NPI 1588337232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in CA · 95002263

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 95203093 (CA)

4301 X ST, Sacramento, CA 95817

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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 and accepts Medicare assignment

Tara Sekle Pettus 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 ID4183060221

PECOS Enrollment IDI20240311003655

Medicare Billing Reassignment

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

Regents Of The Univ Of Ca

Same address

Maternal & Fetal Medicine

4860 Y ST
Sacramento, CA 95817

Reassigned Medicare billing, California enrollment
2,570 clinicians in this Medicare group

NPI 1013906973 (916) 734-6930

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 3

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

29 services29 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

19 services18 patients

Anesthesia for other procedure on eye 00140

Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

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

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.

ALICIA MARIE MARZOLF RD

Dietitian, Registered