DR. TIA WHEATLEY DNP, RN, AGACNP-BC
NPI 1164096657
Nurse Practitioner - Acute Care in Los Angeles, CA

Active since May 18, 2021PECOS EnrolledAccepts Medicare Assignment
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 267-7629 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2024, May 18, 2021 (2 updates tracked since 2021).

About Dr. Tia Wheatley Dnp, Rn, Agacnp-bc NPPES

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

DR. TIA WHEATLEY DNP, RN, AGACNP-BC (NPI 1164096657) is an individual acute care provider in Los Angeles, California, licensed in California (95027696) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164096657
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDR. TIA WHEATLEYCredential: DNP, RN, AGACNP-BC
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-8358
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 18, 2021
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1164096657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95027696
757 WESTWOOD PLZ, Los Angeles, CA 90095

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

Dr. Tia Wheatley Dnp, Rn, Agacnp-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 ID840632444
PECOS Enrollment IDI20250906000826
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 Reassignment

Medicare enrollment records show Tia Wheatley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095

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 Tia Wheatley's NPI number?

The NPI number for Tia Wheatley is 1164096657. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Tia Wheatley located?

Tia Wheatley practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 267-7629.

What is Tia Wheatley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tia Wheatley enrolled in Medicare?

Yes. Tia Wheatley 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 organization bills Medicare for Tia Wheatley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tia Wheatley reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, CA). The 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 Tia Wheatley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tia Wheatley was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.