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

Tara Rose Flanagan, MPA-C

Individual provider Physician Assistant · NPI 1275925125

Tara Rose Flanagan, MPA-C is a Physician Assistant in Montgomery, New York. Qualified in 2014, 12 years ago. Practices with Premier Medical Group of the Hudson Valley PC, a 135-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015

Practice location Address checks out

127 Hawkins Dr
Montgomery, NY 12549-2626
Phone: (845) 457-4035
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018471 (NY)

Record details

NPI number1275925125
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPA-C
Sole proprietorNo
NPI enumeratedMarch 2, 2015
Last updated in NPPESMarch 7, 2023
Certification dateOctober 14, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Premier Medical Group Of The Hudson Valley Pc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare