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MIA TISCARENO FNP
NPI 1316354350
Nurse Practitioner - Family in Santa Rosa, CA

Active since July 22, 2014PECOS Enrolled
3569 ROUND BARN CIR, SANTA ROSA, CA 95403(707) 303-3600(707) 303-3611 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Feb 11, 2016 (2 updates tracked since 2016).

About Mia Tiscareno Fnp NPPES

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

MIA TISCARENO FNP (NPI 1316354350) is an individual family provider in Santa Rosa, California, licensed in California (95000973) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316354350
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIA TISCARENOCredential: FNP
Location Address3569 ROUND BARN CIRSanta Rosa, CA 95403-5781
Mailing Address3569 Round Barn CirSanta Rosa, CA 95403-5781 · (707) 303-3600 · Fax (707) 303-3611
Phone(707) 303-3600
Fax(707) 303-3611
Sole ProprietorNo
Enumeration DateJuly 22, 2014
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1316354350 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
License✔ Licensed in CA · 95000973
3569 ROUND BARN CIR, Santa Rosa, CA 95403
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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 (PECOS)

Mia Tiscareno Fnp 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 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers14 claims40 services$3.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. LYMAN BOWEN GREAVES JR. M.D.
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
KYLE RANSOM D.O.
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
ELIZABETH VIRGINIA FERNWOOD
Nurse Practitioner
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
MOLLIE SCHRODI PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
KAYLA FLORES TINDALL
Family Medicine
3569 ROUND BARN CIR, SUITE 200
SANTA ROSA, CA 95403
Sonoma County (707) 583-8800
STEPHEN P KRUMLAND M.D.
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
PATRICIA G PADILLA-NOAH MD
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600
MR. CHRISTOPH GELSDORF M.D.
Family Medicine
3569 ROUND BARN CIR
SANTA ROSA, CA 95403
Sonoma County (707) 303-3600

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 Mia Tiscareno's NPI number?

The NPI number for Mia Tiscareno is 1316354350. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Where is Mia Tiscareno located?

Mia Tiscareno practices at 3569 Round Barn Cir, Santa Rosa, CA 95403. The listed phone number is (707) 303-3600.

What is Mia Tiscareno's specialty?

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

Is Mia Tiscareno enrolled in Medicare?

Yes. Mia Tiscareno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mia Tiscareno was last updated on July 12, 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.