1. Home
  2. Directory
  3. Arizona
  4. San Luis
  5. Nurse Practitioner
  6. NPI Profile

TANIA VILLICANA GONZALEZ FNP
NPI 1053123802
Nurse Practitioner - Family in San Luis, AZ

Active since January 20, 2025PECOS Enrolled
PO BOX 12716, SAN LUIS, AZ 85349(928) 750-2019 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tania Villicana Gonzalez Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANIA VILLICANA GONZALEZ FNP (NPI 1053123802) is an individual family provider in San Luis, Arizona, licensed in Arizona (315531) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053123802
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTANIA VILLICANA GONZALEZCredential: FNP
Location AddressPO BOX 12716San Luis, AZ 85349-6899
Mailing AddressPo Box 12716San Luis, AZ 85349-6899 · (928) 750-2019
Phone(928) 750-2019
Sole ProprietorNo
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1053123802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 315531
Also ListedRegistered NurseTaxonomy 163W00000X · License RN191243 (AZ)
PO BOX 12716, San Luis, AZ 85349
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tania Villicana Gonzalez Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85349 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tania Gonzalez's NPI number?

The NPI number for Tania Gonzalez is 1053123802. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is Tania Gonzalez located?

Tania Gonzalez practices at PO Box 12716, San Luis, AZ 85349. The listed phone number is (928) 750-2019.

What is Tania Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tania Gonzalez enrolled in Medicare?

Yes. Tania Gonzalez is registered in the Medicare PECOS enrollment system.

What insurance does Tania Gonzalez accept?

Health plans from Blue Cross Blue Shield of Arizona list Tania Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tania Gonzalez was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.