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

Tara Lord Grogan, CRNP

Individual provider Nurse Practitioner · NPI 1114680808

Tara Lord Grogan, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Cooper Surgical Associates, PA, a 306-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
5
Licensed in
NJ, PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3400 Civic Center Blvd Fl 3
Philadelphia, PA 19104-5127
Phone: (215) 316-5151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Cooper Plz Rm 403, Camden, NJ 08103-1438 — (856) 342-2439

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP024598 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ15079500 (NJ)

Record details

NPI number1114680808
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 19, 2021
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cooper Surgical Associates, Pa — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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