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

Tara Nicole Andersen, PA-C

Individual provider Physician Assistant · NPI 1699418160

Tara Nicole Andersen, PA-C is a Physician Assistant in Osage Beach, Missouri. Qualified in 2021, 5 years ago. Practices with Lake Regional Health System, a 131-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

54 Hospital Dr Ste 201
Osage Beach, MO 65065-3050
Phone: (573) 302-2764
Fax: (573) 302-2767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2022006987 (MO)

Record details

NPI number1699418160
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lake Regional Health System — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Osage Beach