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MS. TARA-GERMAINE ST. ROSE NP
NPI 1982178273
Nurse Practitioner - Women's Health in New York, NY

Active since January 20, 2019PECOS Enrolled
111 BROADWAY FL 4, NEW YORK, NY 10006(212) 263-9700 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 8, 2021, Apr 27, 2021, Mar 4, 2021 and 2 more (5 updates tracked since 2019).

About Ms. Tara-germaine St. Rose Np NPPES

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

MS. TARA-GERMAINE ST. ROSE NP (NPI 1982178273) is an individual women's health provider in New York, New York, licensed in New York (421421) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1982178273
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. TARA-GERMAINE ST. ROSECredential: NP
Location Address111 BROADWAY FL 4New York, NY 10006-1978
Mailing Address111 Broadway Fl 4New York, NY 10006-1978
Phone(212) 263-9700
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 20, 2019
Last NPPES UpdateJune 8, 20215 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1982178273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in NY · 421421✔ Licensed in MD · PENDING
111 BROADWAY FL 4, New York, NY 10006
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Other Names 1

Former Name (1)Tara Germaine St. Rose Np

Secondary Practice Location 1

Location 1330 N Howard StBaltimore, MD 21201-3610 · Phone (410) 576-1414

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tara-germaine St. Rose Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608282298
PECOS Enrollment IDI20210305000740
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 Reassignments

2

Medicare enrollment records show Tara-germaine St. Rose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Planned Parenthood Of Greater New York Inc
1.5 mi
Ambulatory Family Planning Facility
44 COURT ST FL 4
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 77 clinicians in this Medicare group
NPI 1417959701 (212) 965-7000
New York University
1,036 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 10006 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 9

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

ERICK ROMERO
Orthopaedic Surgery (Sports Medicine)
111 BROADWAY FL 4
NEW YORK, NY 10006
New York County (212) 263-9700
MARGARET BURNS
Pediatrics
111 BROADWAY FL 4
NEW YORK, NY 10006
New York County (212) 263-9700
SAMANTHA MARY DUNHAM MD
Obstetrics & Gynecology
111 BROADWAY FL 4
NEW YORK, NY 10006
New York County (212) 263-9700
CHRISTIAN COLE
Registered Nurse
111 BROADWAY FL 4
NEW YORK, NY 10006
New York County (212) 263-9700
MICHAELA DOMARATZKY MD
Pediatrics
111 BROADWAY FL 4
NEW YORK, NY 10006
New York County (212) 263-9700
ERICA C DUN MD
Obstetrics & Gynecology
111 BROADWAY FL 4
NEW YORK, NY 10006
New York County (212) 263-9700
DEBORAH SONENBLICK MD
Internal Medicine
111 BROADWAY FL 4
NEW YORK, NY 10006
New York County (212) 263-9700
KELSEY KOSSL
Obstetrics & Gynecology
111 BROADWAY FL 4
NEW YORK, NY 10006
New York County (212) 263-9700

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-germaine St. Rose's NPI number?

The NPI number for Tara-germaine St. Rose is 1982178273. It was assigned to this individual provider in the NPPES registry on January 20, 2019. The provider is also known as Tara Germaine St. Rose Np.

Where is Tara-germaine St. Rose located?

Tara-germaine St. Rose practices at 111 Broadway Fl 4, New York, NY 10006. The listed phone number is (212) 263-9700.

What is Tara-germaine St. Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Tara-germaine St. Rose enrolled in Medicare?

Yes. Tara-germaine St. Rose is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tara-germaine St. Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara-germaine St. Rose reassigns Medicare benefits to 2 organizations: Planned Parenthood Of Greater New York Inc (Brooklyn, NY) and New York University (Boynton Beach, FL). 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-germaine St. Rose'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-germaine St. Rose was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.