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MRS. TIERRA ROYAL FNP-C
NPI 1205696010
Nurse Practitioner in Fredericksburg, VA

Active since March 20, 2024PECOS EnrolledAccepts Medicare Assignment
1300 EMANCIPATION HWY, FREDERICKSBURG, VA 22401(540) 289-2273 Get Directions Write a Review

NPPES record last updated: January 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2026, May 18, 2024, Apr 16, 2024 and 1 more (4 updates tracked since 2024).

About Mrs. Tierra Royal Fnp-c NPPES

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

MRS. TIERRA ROYAL FNP-C (NPI 1205696010) is an individual nurse practitioner in Fredericksburg, Virginia, licensed in Virginia (0024189873) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205696010
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. TIERRA ROYALCredential: FNP-C
Location Address1300 EMANCIPATION HWYFredericksburg, VA 22401-4600
Mailing Address645 Village PkwyFredericksburg, VA 22406-7297 · (703) 776-0778
Phone(540) 289-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 20, 2024
Last NPPES UpdateJanuary 4, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2026
✔ NPI 1205696010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024189873
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024189873 (VA)
1300 EMANCIPATION HWY, Fredericksburg, VA 22401
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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

Mrs. Tierra Royal Fnp-c 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 ID8123553823
PECOS Enrollment IDI20241118003529
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 22401 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 3

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

RENEE MALOVE FNP-C
Nurse Practitioner (Family)
1300 EMANCIPATION HWY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 289-2273
KRISTEN NICHOLE HESTER FNP-C
Nurse Practitioner (Family)
1300 EMANCIPATION HWY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 289-2273
CENTERCARE FAMILY PRACTICE, LLC
Family Medicine
1300 EMANCIPATION HWY
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 289-2273

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 Tierra Royal's NPI number?

The NPI number for Tierra Royal is 1205696010. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Tierra Royal located?

Tierra Royal practices at 1300 Emancipation Hwy, Fredericksburg, VA 22401. The listed phone number is (540) 289-2273.

What is Tierra Royal's specialty?

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

Is Tierra Royal enrolled in Medicare?

Yes. Tierra Royal 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 Tierra Royal was last updated on January 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.