Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara L. Stump, PA

Individual provider Surgical Physician Assistant · NPI 1417316431

Tara L. Stump, PA is a Physician Assistant in Charlottesville, Virginia. Qualified in 2015, 11 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1215 Lee St 2nd Fl
Charlottesville, VA 22908-0001
Phone: (434) 243-4520
Fax: (434) 982-1998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5875 Bremo Rd Ste 400b, Richmond, VA 23226-1928 — (804) 287-7840

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110005225 (VA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0110005225 (VA)

Record details

NPI number1417316431
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 18, 2016
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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