MARVA J TILLEMAN
NPI 1346118536
Nurse Practitioner in Fort Worth, TX

Q: What is Marva Tilleman's NPI number?

The NPI number for Marva Tilleman is 1346118536. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Q: What is Marva Tilleman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marva Tilleman was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 28, 2025PECOS EnrolledAccepts Medicare Assignment

923 PENNSYLVANIA AVE STE 100, FORT WORTH, TX 76104(817) 920-0484(817) 920-0086 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Marva J Tilleman NPPES

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

MARVA J TILLEMAN (NPI 1346118536) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (1216312) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1346118536

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARVA J TILLEMAN

Location Address923 PENNSYLVANIA AVE STE 100Fort Worth, TX 76104-2254

Mailing Address923 Pennsylvania Ave Ste 100Fort Worth, TX 76104-2254 · (817) 920-0484 · Fax (817) 920-0068

Phone(817) 920-0484

Fax(817) 920-0086

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1346118536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 1216312

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.

923 PENNSYLVANIA AVE STE 100, Fort Worth, TX 76104

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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

Marva J Tilleman 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 ID7810475027

PECOS Enrollment IDI20260129002520

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 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

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