ELIZABETH VIDALES DNP, FNP-C
NPI 1053883371
Nurse Practitioner - Family in Buckeye, AZ

Q: What is Elizabeth Vidales's NPI number?

The NPI number for Elizabeth Vidales is 1053883371. It was assigned to this individual provider in the NPPES registry on December 27, 2018.

Q: What is Elizabeth Vidales's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Vidales was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since December 27, 2018PECOS EnrolledAccepts Medicare Assignment

306 E MONROE AVE, BUCKEYE, AZ 85326(877) 809-5092 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Jan 5, 2021, Dec 29, 2018 (3 updates tracked since 2018).

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About Elizabeth Vidales Dnp, Fnp-c NPPES

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

ELIZABETH VIDALES DNP, FNP-C (NPI 1053883371) is an individual family provider in Buckeye, Arizona, licensed in Arizona (220228) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053883371

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH VIDALESCredential: DNP, FNP-C

Location Address306 E MONROE AVEBuckeye, AZ 85326-2706

Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (623) 583-3001

Phone(877) 809-5092

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 27, 2018

Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2025

✔ NPI 1053883371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 220228

306 E MONROE AVE, Buckeye, AZ 85326

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Other Identifiers 1

Medicaid467628AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Vidales Dnp, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143569830

PECOS Enrollment IDI20190225000211

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

21 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85326 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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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