IVETH ROCIO MAVAREZ DE TARANTINO FNP-C
NPI 1336942952
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Iveth Mavarez De Tarantino's NPI number?

The NPI number for Iveth Mavarez De Tarantino is 1336942952. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Q: What is Iveth Mavarez De Tarantino's specialty?

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

Active since March 29, 2025PECOS EnrolledAccepts Medicare Assignment

2640 W BASELINE RD STE 111, PHOENIX, AZ 85041(480) 677-8282(888) 316-1686 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2025, Mar 29, 2025 (2 updates tracked since 2025).

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About Iveth Rocio Mavarez De Tarantino Fnp-c NPPES

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

IVETH ROCIO MAVAREZ DE TARANTINO FNP-C (NPI 1336942952) is an individual family provider in Phoenix, Arizona, licensed in Arizona (275241) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1336942952

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIVETH ROCIO MAVAREZ DE TARANTINOCredential: FNP-C

Location Address2640 W BASELINE RD STE 111Phoenix, AZ 85041-6492

Mailing Address261 N Roosevelt AveChandler, AZ 85226-2617 · (480) 677-8282 · Fax (888) 316-1686

Phone(480) 677-8282

Fax(888) 316-1686

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 29, 2025

Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1336942952 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 AZ · 275241

2640 W BASELINE RD STE 111, Phoenix, AZ 85041

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Other Identifiers 1

Medicaid248625AZ

Accepted Insurance

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

Iveth Rocio Mavarez De Tarantino 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 ID6002317930

PECOS Enrollment IDI20250901000478

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 Iveth Mavarez De Tarantino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Good Health Medical, PLLC

Same address

Family Medicine

2640 W BASELINE RD, SUITE 111
Phoenix, AZ 85041

Reassigned Medicare billing, Arizona enrollment
321 clinicians in this Medicare group

NPI 1881032670 (480) 677-8282

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 85041 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 13

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

SAMAREEA SAUNDERS FNP

Nurse Practitioner (Family)