MR. MIGUEL FONSECA-MORENO
NPI 1417724402
Physician Assistant in Anthem, AZ

Q: What is Miguel Fonseca-moreno's NPI number?

The NPI number for Miguel Fonseca-moreno is 1417724402. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Q: What is Miguel Fonseca-moreno's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since December 08, 2023PECOS Enrolled

42104 N VENTURE DR STE D118, ANTHEM, AZ 85086(623) 505-9880 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Dec 2, 2024, Sep 30, 2024 and 1 more (4 updates tracked since 2023).

On this page

About Mr. Miguel Fonseca-moreno NPPES

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

MR. MIGUEL FONSECA-MORENO (NPI 1417724402) is an individual physician assistant in Anthem, Arizona and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417724402

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MIGUEL FONSECA-MORENO

Location Address42104 N VENTURE DR STE D118Anthem, AZ 85086-3837

Mailing Address80 W Maryland Ave Apt 207Phoenix, AZ 85013-1266 · (480) 686-3301

Phone(623) 505-9880

Sole ProprietorNo

Enumeration DateDecember 8, 2023

Last NPPES UpdateJune 17, 20254 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1417724402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedInternal MedicineTaxonomy 207R00000X · License 10680 (AZ)

42104 N VENTURE DR STE D118, Anthem, AZ 85086

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Miguel Fonseca-moreno is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

88 services39 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

38 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85086 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

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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 6

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

ROBYN PROCYK NP-C

Nurse Practitioner (Family)

42104 N VENTURE DR STE D118
PHOENIX, AZ 85086

Maricopa County (623) 505-6565

MRS. NICOLE RENEE BISHOP NP

Nurse Practitioner (Acute Care)