ANTONIO TAVITAS BC-FNP
NPI 1104202308
Nurse Practitioner - Family in Albuquerque, NM
About Antonio Tavitas Bc-fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTONIO TAVITAS BC-FNP (NPI 1104202308) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (CNP-02706) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Antonio Tavitas Bc-fnp 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
3Medicare enrollment records show Antonio Tavitas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 505 clinicians in this Medicare group
Albuquerque, NM 87108
- Reassigned Medicare billing, New Mexico enrollment
- 19 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unm Hospital
Acute Care Hospitals · Albuquerque, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
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 Antonio Tavitas's NPI number?
The NPI number for Antonio Tavitas is 1104202308. It was assigned to this individual provider in the NPPES registry on August 11, 2015.
Where is Antonio Tavitas located?
Antonio Tavitas practices at 1100 Central Ave SE, Albuquerque, NM 87106. The listed phone number is (505) 841-1234.
What is Antonio Tavitas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Antonio Tavitas enrolled in Medicare?
Yes. Antonio Tavitas 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 Antonio Tavitas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Tavitas reassigns Medicare benefits to 3 organizations: Presbyterian Healthcare Services (Albuquerque, NM), Unm Hospital (Albuquerque, NM) and Albuquerque Amg Specialty Hospital, LLC (Albuquerque, NM). 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 Antonio Tavitas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Antonio Tavitas accept?
Health plans from Blue Cross and Blue Shield of Texas list Antonio Tavitas 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.
Is Antonio Tavitas affiliated with any hospitals?
According to CMS data, Antonio Tavitas is affiliated with Unm Hospital.
When was this NPI record last updated?
The NPPES record for Antonio Tavitas was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Antonio Tavitas, BC-FNP · NPI 1104202308
Family physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since August 11, 2015.
## Identity
- **NPI:** 1104202308 (Entity type: Individual)
- **Enumerated:** August 11, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP-02706 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 CENTRAL AVE SE, Albuquerque, NM 87106-4930
- **Phone:** (505) 841-1234
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Presbyterian Healthcare Services (NPI 1215913470, Albuquerque, NM); Unm Hospital (NPI 1689747552, Albuquerque, NM); Albuquerque Amg Specialty Hospital, LLC (NPI 1518232842, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 29, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1104202308) · Data from the CMS NPPES public registry.