ELSA TAMARA FUENTES-VELAZQUEZ
NPI 1174475495
Nurse Practitioner in Phoenix, AZ

Q: What is Elsa Fuentes-velazquez's NPI number?

The NPI number for Elsa Fuentes-velazquez is 1174475495. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Q: What is Elsa Fuentes-velazquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 10, 2026PECOS Enrolled

1514 W THOMAS RD, PHOENIX, AZ 85015(602) 283-5732 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Elsa Tamara Fuentes-velazquez NPPES

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

ELSA TAMARA FUENTES-VELAZQUEZ (NPI 1174475495) is an individual nurse practitioner in Phoenix, Arizona, licensed in Arizona (254628) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174475495

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELSA TAMARA FUENTES-VELAZQUEZ

Location Address1514 W THOMAS RDPhoenix, AZ 85015-6101

Mailing Address1514 W Thomas RdPhoenix, AZ 85015-6101 · (602) 283-5732

Phone(602) 283-5732

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 10, 2026

NPPES CertifiedFebruary 10, 2026

✔ NPI 1174475495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · 254628

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1514 W THOMAS RD, Phoenix, AZ 85015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elsa Tamara Fuentes-velazquez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911482716

PECOS Enrollment IDI20260330003338

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 Elsa Fuentes-velazquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Family Medicine LLC

Same address

Family Medicine

1514 W THOMAS RD
Phoenix, AZ 85015

Reassigned Medicare billing, Arizona enrollment
20 clinicians in this Medicare group

NPI 1477908085 (602) 283-5732

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 85015 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.

Other Providers at the Same Location NPPES 6

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

YSIS MARTJA CAMPECHANO GRULLON

Physician Assistant