TISHA Y PHELPS CPNP-AC
NPI 1194052456
Nurse Practitioner - Pediatrics, Critical Care in Sacramento, CA

Q: What is Tisha Phelps's NPI number?

The NPI number for Tisha Phelps is 1194052456. It was assigned to this individual provider in the NPPES registry on November 6, 2009. The provider is also known as Tisha Y Aten.

Q: What is Tisha Phelps's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Tisha Phelps was last updated on August 23, 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 November 06, 2009PECOS Enrolled

2315 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 703-2372 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tisha Y Phelps Cpnp-ac NPPES

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

TISHA Y PHELPS CPNP-AC (NPI 1194052456) is an individual pediatrics, critical care provider in Sacramento, California, licensed in California (23142) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194052456

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameTISHA Y PHELPSCredential: CPNP-AC

Location Address2315 STOCKTON BLVDSacramento, CA 95817

Mailing Address2315 Stockton BlvdSacramento, CA 95817-2201 · (916) 734-2994 · Fax (916) 734-0960

Phone(916) 703-2372

Sole ProprietorNo

Enumeration DateNovember 6, 2009

Last NPPES UpdateAugust 23, 2018

✔ NPI 1194052456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

Licenses✔ Licensed in CA · 23142✔ Licensed in UT · 6225962-4405

2315 STOCKTON BLVD, Sacramento, CA 95817

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Other Names 1

Former Name (1)Tisha Y Aten

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tisha Y Phelps Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

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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.

KATHLEEN STUCKER

Social Worker (Clinical)

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-5628

MARIA ISABEL AGUILAR

Registered Nurse

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-8730

NATHAN JACOB VANDEN BERGE

Emergency Medicine

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-8570

PETER SANTIAGO C.O., C.PED., FAAOP

Specialist

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-7045

SHIELA LEIGH SAMSON ANGULO DO

Student in an Organized Health Care Education/Training Program

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-5974

MS. KATHLEEN DOLORES VAN LEEUWEN MD

Surgery (Pediatric Surgery)

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-3229

STEPHEN MULFORD

Physical Therapy Assistant

2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817

Sacramento County (916) 734-7248

MR. MARK YAMADA

Occupational Therapist

2315 STOCKTON BLVD
SACRAMENTO, CA 95817

Sacramento County (916) 734-7248

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 Tisha Phelps's NPI number?

The NPI number for Tisha Phelps is 1194052456. It was assigned to this individual provider in the NPPES registry on November 6, 2009. The provider is also known as Tisha Y Aten.

Where is Tisha Phelps located?

Tisha Phelps practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 703-2372.

What is Tisha Phelps's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Tisha Phelps enrolled in Medicare?

Yes. Tisha Phelps is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tisha Phelps was last updated on August 23, 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.