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TATANISHA FUNCHES
NPI 1336667070
Nurse Practitioner - Family in Waukegan, IL

Active since September 01, 2017PECOS EnrolledAccepts Medicare Assignment
2504 WASHINGTON ST STE 102, WAUKEGAN, IL 60085(847) 623-7590(847) 623-7591 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2026, Oct 4, 2024, Sep 1, 2017 (3 updates tracked since 2017).

About Tatanisha Funches NPPES

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

TATANISHA FUNCHES (NPI 1336667070) is an individual family provider in Waukegan, Illinois, licensed in Illinois (209029247) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336667070
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTATANISHA FUNCHES
Location Address2504 WASHINGTON ST STE 102Waukegan, IL 60085-4960
Mailing Address6142 Roosevelt Rd Ste 202-3Oak Park, IL 60304-2311 · (224) 384-5465 · Fax (224) 592-7559
Phone(847) 623-7590
Fax(847) 623-7591
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 1, 2017
Last NPPES UpdateApril 9, 20263 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1336667070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209029247
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 041380097 (IN)
2504 WASHINGTON ST STE 102, Waukegan, IL 60085
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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

Tatanisha Funches 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 ID5799126728
PECOS Enrollment IDI20240508002761
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.

Areas of Expertise CMS Part B claims 2

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.
323 services83 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.
234 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60085 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

INTEGRA HEALTHCARE SC
Internal Medicine
2504 WASHINGTON ST STE 102
WAUKEGAN, IL 60085
Lake County (847) 623-7590
SACHIN JAIN MD
Internal Medicine
2504 WASHINGTON ST STE 102
WAUKEGAN, IL 60085
Lake County (847) 623-7590
MISS TANIYAMOL JOSEPH NP
Nurse Practitioner
2504 WASHINGTON ST STE 102
WAUKEGAN, IL 60085
Lake County (847) 623-7590

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 Tatanisha Funches's NPI number?

The NPI number for Tatanisha Funches is 1336667070. It was assigned to this individual provider in the NPPES registry on September 1, 2017.

Where is Tatanisha Funches located?

Tatanisha Funches practices at 2504 Washington St Ste 102, Waukegan, IL 60085. The listed phone number is (847) 623-7590.

What is Tatanisha Funches's specialty?

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

Is Tatanisha Funches enrolled in Medicare?

Yes. Tatanisha Funches 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 Tatanisha Funches was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.