MRS. LICEL TUMPAP FNP-C
NPI 1104344969
Nurse Practitioner - Family in Mesa, AZ

Q: What is Licel Tumpap's NPI number?

The NPI number for Licel Tumpap is 1104344969. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Q: What is Licel Tumpap'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 Licel Tumpap was last updated on October 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 31, 2017PECOS EnrolledAccepts Medicare Assignment

612 W BASELINE RD, MESA, AZ 85210(480) 834-9039(480) 964-7802 Get Directions Write a Review

NPPES record last updated: October 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2017, Aug 31, 2017 (2 updates tracked since 2017).

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About Mrs. Licel Tumpap Fnp-c NPPES

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

MRS. LICEL TUMPAP FNP-C (NPI 1104344969) is an individual family provider in Mesa, Arizona, licensed in Arizona (AP10091) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104344969

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LICEL TUMPAPCredential: FNP-C

Location Address612 W BASELINE RDMesa, AZ 85210-6041

Mailing Address2210 E La Costa DrGilbert, AZ 85298-9738 · (480) 628-3066

Phone(480) 834-9039

Fax(480) 964-7802

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 31, 2017

Last NPPES UpdateOctober 20, 20172 updates tracked since enumeration

✔ NPI 1104344969 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 · AP10091

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP10091 (AZ)

612 W BASELINE RD, Mesa, AZ 85210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..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

Mrs. Licel Tumpap 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 ID244506863

PECOS Enrollment IDI20171026002684

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 3

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

119 services61 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

54 services42 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

27 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85210 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.

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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.

ERICA THORNE NP

Nurse Practitioner (Family)