Tara Maree Stegall Shumard, CRNA in Charlotte, NC - Medicare Nurse Anesthetist, Certified Registered

Tara Maree Stegall Shumard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlotte, North Carolina. Her current practice location is 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 355-3398.

Tara Maree Stegall Shumard is licensed to practice in North Carolina (license number 1456) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033392378.

Contact Information

	Tara Maree Stegall Shumard, CRNA
	1000 Blythe Blvd, Charlotte, NC 28203-5812
	(704) 355-3398
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Maree Stegall Shumard
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1000 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033392378
Provider Enumeration Date: 12/10/2007
Last Update Date: 08/22/2025

Medicare PECOS Information:

PECOS PAC ID: 2961586573
Enrollment ID: I20080220000715

Medical Identifiers

Medical identifiers for Tara Maree Stegall Shumard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033392378	NPI	-	NPPES
8053252	Medicaid	NC
187410	Other	NC	NC RN LICENSE
NAN830	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	90754 (South Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	078476 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	1456 (North Carolina)	Primary
163W00000X	Registered Nurse	RN182568 (Georgia)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tara Maree Stegall Shumard allows following entities to bill medicare on her behalf.

Entity Name	Chs Anesthesia Services Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Maree Stegall Shumard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tara Maree Stegall Shumard, CRNA Po Box 32861, Anesthesia Svcs - 5th Floor Surgery Tower, Charlotte, NC 28232-2861 Ph: (704) 355-8983	Tara Maree Stegall Shumard, CRNA 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-3398

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charlotte, NC

Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636
Alexandru Daniel Vlasin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000

Tara Maree Stegall Shumard, CRNA - Medicare Nurse Anesthetist, Certified Registered in Charlotte, NC