Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. FANNY ALMEYDI RIVERA TILLER
NPI 1376108464
Nurse Practitioner - Family in Round Rock, TX

Active since May 05, 2019PECOS EnrolledAccepts Medicare Assignment
620 ROUND ROCK WEST DR, ROUND ROCK, TX 78681(512) 827-7422 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, May 5, 2019 (2 updates tracked since 2019).

About Mrs. Fanny Almeydi Rivera Tiller NPPES

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

MRS. FANNY ALMEYDI RIVERA TILLER (NPI 1376108464) is an individual family provider in Round Rock, Texas, licensed in Texas (AP141418) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376108464
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. FANNY ALMEYDI RIVERA TILLER
Location Address620 ROUND ROCK WEST DRRound Rock, TX 78681-5086
Mailing Address12301 Ryden StManor, TX 78653-9775 · (512) 906-7564
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 5, 2019
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1376108464 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
Licenses✔ Licensed in TX · AP141418✔ Licensed in CA · 95468370
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP036809 (PA), 91102 (NM), 902107 (NV), APRN11050774 (FL)
620 ROUND ROCK WEST DR, Round Rock, TX 78681

Secondary Practice Location 1

Location 195 3rd St Ste 293San Francisco, CA 94103-3103 · Phone (707) 207-6571

Accepted 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

Mrs. Fanny Almeydi Rivera Tiller 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 ID4587086251
PECOS Enrollment IDI20200625001574
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 Fanny Tiller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
720 W 34TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group
Family Medicine
95 3RD ST STE 293
San Francisco, CA 94103
  • Reassigned Medicare billing, Texas enrollment
Family Medicine
95 3RD ST STE 293
San Francisco, CA 94103
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Pair Team Medical Group PA
  • 8 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 5

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
252 services45 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
233 services42 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
223 services15 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
58 services14 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78681 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

Family Medicine
620 ROUND ROCK WEST DR, BUILDING #8
ROUND ROCK, TX 78681

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 Fanny Tiller's NPI number?

The NPI number for Fanny Tiller is 1376108464. It was assigned to this individual provider in the NPPES registry on May 5, 2019.

Where is Fanny Tiller located?

Fanny Tiller practices at 620 Round Rock West Dr, Round Rock, TX 78681. The listed phone number is (512) 827-7422.

What is Fanny Tiller's specialty?

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

Is Fanny Tiller enrolled in Medicare?

Yes. Fanny Tiller 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 Fanny Tiller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fanny Tiller reassigns Medicare benefits to 3 organizations: Vmd Primary Providers Of South Central Texas PLLC (Austin, TX), Pair Team Medical Group Of California PC (San Francisco, CA) and Pair Team Medical Group, P.A. (San Francisco, CA). 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 Fanny Tiller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fanny Tiller accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health, Moda Health Plan, Inc. and Oscar Insurance Company list Fanny Tiller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fanny Tiller was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.