TATIANA VITALIA BUONICORE APRN-FPA
NPI 1366800906
Nurse Practitioner in Burbank, IL

Active since February 09, 2016PECOS EnrolledAccepts Medicare Assignment
5635 STATE RD, BURBANK, IL 60459(708) 424-9200 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2025, Jul 19, 2023, Oct 27, 2020 and 1 more (4 updates tracked since 2016).

About Tatiana Vitalia Buonicore Aprn-fpa NPPES

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

TATIANA VITALIA BUONICORE APRN-FPA (NPI 1366800906) is an individual nurse practitioner in Burbank, Illinois, licensed in Illinois (277001003) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1366800906
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTATIANA VITALIA BUONICORECredential: APRN-FPA
Location Address5635 STATE RDBurbank, IL 60459-2051
Mailing Address5635 State RdBurbank, IL 60459-2051 · (708) 424-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 9, 2016
Last NPPES UpdateMarch 24, 20254 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1366800906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 277001003
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 277001003 (IL)
5635 STATE RD, Burbank, IL 60459

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

Tatiana Vitalia Buonicore Aprn-fpa 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 ID2062719917
PECOS Enrollment IDI20160321002373
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 Reassignments

3

Medicare enrollment records show Tatiana Buonicore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Public Health, State or Local
5635 STATE RD
Burbank, IL 60459
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
4700 W 95TH ST, SUITE LOWER LEVEL 5
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
Emergency Medical Services
520 S MAPLE AVE, EMERGENCY DEPARTMENT
Oak Park, IL 60304
  • Reassigned Medicare billing, Illinois enrollment
  • 124 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60459 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 15

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

Registered Nurse
5635 STATE RD
BURBANK, IL 60459
Social Worker (Clinical)
5635 STATE RD
BURBANK, IL 60459
Physician Assistant
5635 STATE RD
BURBANK, IL 60459
Dentist
5635 STATE RD
BURBANK, IL 60459
Clinic/Center (Mental Health (Including Community Mental Health Center))
5635 STATE RD
BURBANK, IL 60459
Counselor (Professional)
5635 STATE RD
BURBANK, IL 60459
Registered Nurse
5635 STATE RD
BURBANK, IL 60459
Social Worker (Clinical)
5635 STATE RD
BURBANK, IL 60459

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 Tatiana Buonicore's NPI number?

The NPI number for Tatiana Buonicore is 1366800906. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Tatiana Buonicore located?

Tatiana Buonicore practices at 5635 State Rd, Burbank, IL 60459. The listed phone number is (708) 424-9200.

What is Tatiana Buonicore's specialty?

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

Is Tatiana Buonicore enrolled in Medicare?

Yes. Tatiana Buonicore 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 organizations bill Medicare for Tatiana Buonicore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tatiana Buonicore reassigns Medicare benefits to 3 organizations: Stickney Public Health District (Burbank, IL), Advocate Health And Hospitals Corporation (Oak Lawn, IL) and Rush Oak Park ER Physicians Group (Oak Park, IL). Each 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 Tatiana Buonicore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tatiana Buonicore was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.