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TAMARA WILSON CISNERO M.D
NPI 1184166779
General Practice in Pensacola, FL

Active since November 14, 2016PECOS EnrolledAccepts Medicare Assignment
1741 E NINE MILE RD STE 5, PENSACOLA, FL 32514(850) 462-9387(850) 462-9389 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Aug 8, 2024, Jul 8, 2024 and 2 more (5 updates tracked since 2016).

About Tamara Wilson Cisnero M.d NPPES

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

TAMARA WILSON CISNERO M.D (NPI 1184166779) is an individual general practice provider in Pensacola, Florida, licensed in Florida (ACN1676) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1184166779
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameTAMARA WILSON CISNEROCredential: M.D
Location Address1741 E NINE MILE RD STE 5Pensacola, FL 32514-5478
Mailing Address71 Calle Santa Cruz Apt 7aBayamon, PR 00961-6926 · (585) 472-1766
Phone(850) 462-9387
Fax(850) 462-9389
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 14, 2016
Last NPPES UpdateMarch 18, 20255 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1184166779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ACN1676✔ Licensed in PR · 023999
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1741 E NINE MILE RD STE 5, Pensacola, FL 32514
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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

Tamara Wilson Cisnero M.d 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 ID1850831512
PECOS Enrollment IDI20250321003581
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.

Other Providers at the Same Location NPPES

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

WENDY HEATHER HULL APRN
Nurse Practitioner (Gerontology)
1741 E NINE MILE RD STE 5
PENSACOLA, FL 32514
Escambia County (850) 462-9387

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 Tamara Wilson Cisnero's NPI number?

The NPI number for Tamara Wilson Cisnero is 1184166779. It was assigned to this individual provider in the NPPES registry on November 14, 2016.

Where is Tamara Wilson Cisnero located?

Tamara Wilson Cisnero practices at 1741 E Nine Mile Rd Ste 5, Pensacola, FL 32514. The listed phone number is (850) 462-9387.

What is Tamara Wilson Cisnero's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Tamara Wilson Cisnero enrolled in Medicare?

Yes. Tamara Wilson Cisnero 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.

When was this NPI record last updated?

The NPPES record for Tamara Wilson Cisnero was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.