TANYA TANZILLO CNP
NPI 1114032802
Nurse Practitioner - Family in Mchenry, IL

Q: What is Tanya Tanzillo's NPI number?

The NPI number for Tanya Tanzillo is 1114032802. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Q: What is Tanya Tanzillo's specialty?

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

Q: Is Tanya Tanzillo enrolled in Medicare?

No. Tanya Tanzillo has opted out of Medicare through May 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Tanya Tanzillo was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 August 20, 2006Opted out of Medicare · through May 13, 2028

2507 N RICHMOND RD, MCHENRY, IL 60051(815) 338-6600(815) 759-4078 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 22, 2018, May 16, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Tanya Tanzillo Cnp NPPES

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

TANYA TANZILLO CNP (NPI 1114032802) is an individual family provider in Mchenry, Illinois, licensed in Illinois (209005985) and active in the NPI registry since August 2006. She has opted out of Medicare through May 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114032802

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTANYA TANZILLOCredential: CNP

Location Address2507 N RICHMOND RDMchenry, IL 60051

Mailing Address2507 N Richmond RdMchenry, IL 60051-5407 · (815) 338-6600 · Fax (815) 759-4078

Phone(815) 338-6600

Fax(815) 759-4078

Sole ProprietorNo

Enumeration DateAugust 20, 2006

Last NPPES UpdateOctober 22, 20184 updates tracked since enumeration

✔ NPI 1114032802 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 IL · 209005985

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209005985 (IL)

2507 N RICHMOND RD, Mchenry, IL 60051

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Other Identifiers 1

Other209005985IL · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tanya Tanzillo Cnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2026 through May 13, 2028.

Opt-Out Effective DateMay 13, 2026

Opt-Out In Effect ThroughMay 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60051 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 19

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

MAZHAR HUSSAIN ZAIDI MD

Family Medicine