TISHA Y PHELPS CPNP-AC
NPI 1194052456
Nurse Practitioner - Pediatrics, Critical Care in Sacramento, CA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tisha Y Phelps Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tisha Phelps reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The Univ Of Ca
- 2,570 clinicians in this Medicare group
Sacramento, CA 95833
- Reassigned Medicare billing, California enrollment
- 3,056 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 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.
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.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
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.
Which organizations bill Medicare for Tisha Phelps's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tisha Phelps reassigns Medicare benefits to 2 organizations: Regents Of The University Of Ca (Sacramento, CA) and Sutter Valley Medical Foundation (Sacramento, CA). 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 Tisha Phelps'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 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 8 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.
# Tisha Y Phelps, CPNP-AC · NPI 1194052456
Pediatrics, Critical Care physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since November 6, 2009.
## Identity
- **NPI:** 1194052456 (Entity type: Individual)
- **Enumerated:** November 6, 2009
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** 23142 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2315 STOCKTON BLVD, Sacramento, CA 95817
- **Phone:** (916) 703-2372
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of Ca (NPI 1063405074, Sacramento, CA); Sutter Valley Medical Foundation (NPI 1952327256, Sacramento, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1194052456) · Data from the CMS NPPES public registry.