Tara Weirich, CRNA
NPI 1104004134 · Certified Registered Nurse Anesthetist · Des Peres, MO
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104004134
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 209006957 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
128 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Lens Surgery00142 | 92 | $109 |
| Anesthesia for Exam of Colon Using an Endoscope00812 | 19 | $99 |
| Anesthesia for Other Procedure on Esophagus, Stomach, Or Upper Small Bowel Using an Endoscope00731 | 17 | $123 |
Typical Medicare-allowed amounts for these services range $99–$123 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (3)
- 9515 Holy Cross LnBreese, IL 62230-3618Phone: (618) 526-5829Fax: (618) 526-8050
- 400 Maple Summit RdJerseyville, IL 62052-2028Phone: (618) 498-6402Fax: (618) 498-8439
- 1 Saint Elizabeth BlvdO Fallon, IL 62269-1099Phone: (618) 234-2120Fax: (618) 641-5810
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2021-04-21
- Certified
- 2021-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.