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TANIA TIBURCIO
NPI 1205126448
Nurse Practitioner - Women's Health in Seattle, WA

Active since April 08, 2011PECOS EnrolledAccepts Medicare Assignment
1100 9TH AVE, SEATTLE, WA 98101(206) 223-6191(206) 625-7274 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2023, Feb 18, 2022 (2 updates tracked since 2022).

About Tania Tiburcio NPPES

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

TANIA TIBURCIO (NPI 1205126448) is an individual women's health provider in Seattle, Washington, licensed in Washington (AP60214611) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1205126448
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameTANIA TIBURCIO
Location Address1100 9TH AVESeattle, WA 98101-2756
Mailing Address1100 9th AveSeattle, WA 98101-2756 · (206) 223-6191 · Fax (206) 625-7274
Phone(206) 223-6191
Fax(206) 625-7274
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 8, 2011
Last NPPES UpdateMay 19, 20232 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
✔ NPI 1205126448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in WA · AP60214611
1100 9TH AVE, Seattle, WA 98101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Tania Tiburcio 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 ID3274839923
PECOS Enrollment IDI20160307002622
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 Reassignments

3

Medicare enrollment records show Tania Tiburcio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virginia Mason Medical Center
Same address
Gastroenterology
1100 9TH AVE
Seattle, WA 98101
  • Reassigned Medicare billing, Washington enrollment
  • 1,021 clinicians in this Medicare group
NPI 1003970989 (206) 223-6600
Obstetrix Medical Group Of Washington Inc Ps
0.3 mi
Maternal & Fetal Medicine
1229 MADISON ST STE 750
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 129 clinicians in this Medicare group
NPI 1861599573 (206) 386-2101
King County Public Hospital District No 2
9.8 mi
Internal Medicine
11521 NE 128TH ST, STE 100
Kirkland, WA 98034
  • Reassigned Medicare billing, Washington enrollment
  • 1,074 clinicians in this Medicare group
NPI 1548350713 (425) 899-6800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services28 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
26 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services16 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500005
Location925 Seneca StSeattle, WA 98101 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98101 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

JACLYN ANN SUBKOVIAK OT
Occupational Therapist
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 341-0461
MARCIE G HUME PHARM.D.
Pharmacist
1100 9TH AVE, MS C3-PO
SEATTLE, WA 98101
King County (206) 223-6877
DR. VINAY GUPTA MD
Internal Medicine (Critical Care Medicine)
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6980
MARY JO BUKOVIC CCP
Contractor
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
PEGAH SAFAEIAN D.O.
Physical Medicine & Rehabilitation
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
MRS. GENEVIEVE HOUDET-COTE SLP
Speech-Language Pathologist
1100 9TH AVE, MS:H4-PMR
SEATTLE, WA 98101
King County (206) 341-0461
ROBERT DALE MCCLURE MD
Surgery
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600
VIRGINIA MASON MEDICAL CENTER
Internal Medicine (Gastroenterology)
1100 9TH AVE
SEATTLE, WA 98101
King County (206) 223-6600

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 Tania Tiburcio's NPI number?

The NPI number for Tania Tiburcio is 1205126448. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Where is Tania Tiburcio located?

Tania Tiburcio practices at 1100 9th Ave, Seattle, WA 98101. The listed phone number is (206) 223-6191.

What is Tania Tiburcio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Tania Tiburcio enrolled in Medicare?

Yes. Tania Tiburcio 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 organizations bill Medicare for Tania Tiburcio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tania Tiburcio reassigns Medicare benefits to 3 organizations: Virginia Mason Medical Center (Seattle, WA), Obstetrix Medical Group Of Washington Inc Ps (Seattle, WA) and King County Public Hospital District No 2 (Kirkland, WA). 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 Tania Tiburcio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tania Tiburcio accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tania Tiburcio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tania Tiburcio affiliated with any hospitals?

According to CMS data, Tania Tiburcio is affiliated with Virginia Mason Medical Center.

When was this NPI record last updated?

The NPPES record for Tania Tiburcio was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.