TAMICA LATOYA ALI
NPI 1063240208
Nurse Practitioner - Family in Syracuse, NY

Q: What is Tamica Ali's NPI number?

The NPI number for Tamica Ali is 1063240208. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Q: What is Tamica Ali'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 Tamica Ali was last updated on February 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 22, 2024PECOS EnrolledAccepts Medicare Assignment

301 PROSPECT AVE, SYRACUSE, NY 13203(315) 448-5881 Get Directions Write a Review

NPPES record last updated: February 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 8, 2025, Jan 7, 2025, Jul 22, 2024 (3 updates tracked since 2024).

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About Tamica Latoya Ali NPPES

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

TAMICA LATOYA ALI (NPI 1063240208) is an individual family provider in Syracuse, New York, licensed in New York (F355466) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063240208

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAMICA LATOYA ALI

Location Address301 PROSPECT AVESyracuse, NY 13203-1807

Mailing Address301 Prospect AveSyracuse, NY 13203-1807 · (315) 448-5881

Phone(315) 448-5881

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 22, 2024

Last NPPES UpdateFebruary 8, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2025

✔ NPI 1063240208 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 NY · F355466

301 PROSPECT AVE, Syracuse, NY 13203

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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

Tamica Latoya Ali 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 ID143740225

PECOS Enrollment IDI20250219002100

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330140

Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13203 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 20

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

MRS. HAILEY L DIANA CRNA

Nurse Anesthetist, Certified Registered