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LIANET LANTIGUA PONCE DE LEON
NPI 1265122584
Nurse Practitioner - Family in Phoenix, AZ

Active since May 10, 2023PECOS EnrolledAccepts Medicare Assignment
10645 N 43RD AVE, PHOENIX, AZ 85029(623) 233-2006(602) 314-6115 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2024, May 10, 2023 (2 updates tracked since 2023).

About Lianet Lantigua Ponce De Leon NPPES

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

LIANET LANTIGUA PONCE DE LEON (NPI 1265122584) is an individual family provider in Phoenix, Arizona, licensed in Arizona (APRN305992) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265122584
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLIANET LANTIGUA PONCE DE LEON
Location Address10645 N 43RD AVEPhoenix, AZ 85029-3944
Mailing Address10645 N 43rd AvePhoenix, AZ 85029-3944 · (623) 233-2006 · Fax (602) 314-6115
Phone(623) 233-2006
Fax(602) 314-6115
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 10, 2023
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1265122584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AZ · APRN305992✔ Licensed in FL · F05230008
10645 N 43RD AVE, Phoenix, AZ 85029
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc., UnitedHealthcare.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

Lianet Lantigua Ponce De Leon 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 ID7517312556
PECOS Enrollment IDI20241006000158
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 Reassignment

Medicare enrollment records show Lianet Lantigua Ponce De Leon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Az Wellness Clinica Familiar LLC
Same address
Family Medicine
10645 N 43RD AVE
Phoenix, AZ 85029
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1255163382 (602) 370-2920

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 85029 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 2

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

AZ WELLNESS CLINICA FAMILIAR LLC
Family Medicine
10645 N 43RD AVE
PHOENIX, AZ 85029
Maricopa County (602) 370-2920
CENTURY DENTAL GROUP, PC
Dentist (General Practice)
10645 N 43RD AVE
PHOENIX, AZ 85029
Maricopa County (602) 973-3690

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 Lianet Lantigua Ponce De Leon's NPI number?

The NPI number for Lianet Lantigua Ponce De Leon is 1265122584. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Lianet Lantigua Ponce De Leon located?

Lianet Lantigua Ponce De Leon practices at 10645 N 43rd Ave, Phoenix, AZ 85029. The listed phone number is (623) 233-2006.

What is Lianet Lantigua Ponce De Leon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lianet Lantigua Ponce De Leon enrolled in Medicare?

Yes. Lianet Lantigua Ponce De Leon 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 organization bills Medicare for Lianet Lantigua Ponce De Leon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lianet Lantigua Ponce De Leon reassigns Medicare benefits to Az Wellness Clinica Familiar LLC (Phoenix, AZ). The 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 Lianet Lantigua Ponce De Leon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lianet Lantigua Ponce De Leon accept?

Health plans from Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Lianet Lantigua Ponce De Leon 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.

When was this NPI record last updated?

The NPPES record for Lianet Lantigua Ponce De Leon was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.