Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CYNTHIA TSOU DNP, FNP-BC
NPI 1154894012
Nurse Practitioner - Family in Naperville, IL

Active since January 03, 2019PECOS EnrolledAccepts Medicare Assignment
1309 MACOM DR STE 101, NAPERVILLE, IL 60564(630) 236-8018 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, Dec 24, 2019, Feb 11, 2019 and 1 more (4 updates tracked since 2019).

About Cynthia Tsou Dnp, Fnp-bc NPPES

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

CYNTHIA TSOU DNP, FNP-BC (NPI 1154894012) is an individual family provider in Naperville, Illinois, licensed in Illinois (209018881) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154894012
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCYNTHIA TSOUCredential: DNP, FNP-BC
Location Address1309 MACOM DR STE 101Naperville, IL 60564-3206
Mailing Address1309 Macom Dr Ste 101Naperville, IL 60564-3206 · (630) 236-8018
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 3, 2019
Last NPPES UpdateOctober 14, 20264 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1154894012 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 IL · 209018881
1309 MACOM DR STE 101, Naperville, IL 60564

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

Cynthia Tsou Dnp, Fnp-bc 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 ID7315277688
PECOS Enrollment IDI20220630000361
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Cynthia Tsou reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1309 MACOM DR STE 101
Naperville, IL 60564
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
Internal Medicine
167 N CHICAGO ST
Joliet, IL 60432
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
Family
9551 S UNIVERSITY BLVD
Highlands Ranch, CO 80126
  • Reassigned Medicare billing, Colorado enrollment
  • 205 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60564 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 5

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

Nurse Practitioner (Family)
1309 MACOM DR STE 101
NAPERVILLE, IL 60564
Family Medicine
1309 MACOM DR STE 101
NAPERVILLE, IL 60564
Nurse Practitioner (Family)
1309 MACOM DR STE 101
NAPERVILLE, IL 60564
Nurse Practitioner (Adult Health)
1309 MACOM DR STE 101
NAPERVILLE, IL 60564
Family Medicine
1309 MACOM DR STE 101
NAPERVILLE, IL 60564

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 Cynthia Tsou's NPI number?

The NPI number for Cynthia Tsou is 1154894012. It was assigned to this individual provider in the NPPES registry on January 3, 2019.

Where is Cynthia Tsou located?

Cynthia Tsou practices at 1309 Macom Dr Ste 101, Naperville, IL 60564. The listed phone number is (630) 236-8018.

What is Cynthia Tsou's specialty?

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

Is Cynthia Tsou enrolled in Medicare?

Yes. Cynthia Tsou 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 Cynthia Tsou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Tsou reassigns Medicare benefits to 3 organizations: Jigar Thakkar MD Sc (Naperville, IL), Rapid Healthcare Ltd (Joliet, IL) and The Little Clinic Of Colorado, LLC (Highlands Ranch, CO). 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 Cynthia Tsou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Tsou accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Cynthia Tsou 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 Cynthia Tsou was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.