ELIZABETH VIDALES DNP, FNP-C
NPI 1053883371
Nurse Practitioner - Family in Peoria, AZ
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 Peoria, 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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Elizabeth Vidales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, AZ 85381
- Reassigned Medicare billing, Arizona enrollment
- 271 clinicians in this Medicare group
Peoria, AZ 85382
- Reassigned Medicare billing, Arizona enrollment
- 234 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85381 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, AZ 85381
PEORIA, AZ 85381
PEORIA, AZ 85381
PEORIA, AZ 85381
PEORIA, AZ 85381
PEORIA, AZ 85381
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 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.
Where is Elizabeth Vidales located?
Elizabeth Vidales practices at 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381. The listed phone number is (623) 876-3800.
What is Elizabeth Vidales's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elizabeth Vidales enrolled in Medicare?
Yes. Elizabeth Vidales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Elizabeth Vidales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Vidales reassigns Medicare benefits to 2 organizations: Banner Primary Care Physicians Arizona LLC (Peoria, AZ) and Adelante Healthcare, Inc. (Peoria, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Vidales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Vidales accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Elizabeth Vidales 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 Elizabeth Vidales was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.
# Elizabeth Vidales, DNP, FNP-C · NPI 1053883371
Family physician in Peoria, Arizona. Individual provider, active in the CMS NPPES registry since December 27, 2018.
## Identity
- **NPI:** 1053883371 (Entity type: Individual)
- **Enumerated:** December 27, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 220228 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 13640 N PLAZA DEL RIO BLVD, Peoria, AZ 85381-4846
- **Phone:** (623) 876-3800 · **Fax:** (623) 285-2609
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Banner Primary Care Physicians Arizona LLC (NPI 1649544362, Peoria, AZ); Adelante Healthcare, Inc. (NPI 1770991291, Peoria, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 17, 2026
- **Other identifiers:** Medicaid 467628 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1053883371) · Data from the CMS NPPES public registry.