TINA VILCHEZ NP
NPI 1457953093
Nurse Practitioner in Toledo, OH

Q: What is Tina Vilchez's NPI number?

The NPI number for Tina Vilchez is 1457953093. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Q: What is Tina Vilchez'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 Tina Vilchez was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 November 09, 2020PECOS EnrolledAccepts Medicare Assignment

2109 HUGHES DR STE 860, TOLEDO, OH 43606(419) 291-3674 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2023, Mar 2, 2023, Nov 9, 2020 (3 updates tracked since 2020).

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About Tina Vilchez Np NPPES

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

TINA VILCHEZ NP (NPI 1457953093) is an individual nurse practitioner in Toledo, Ohio, licensed in Ohio (APRN.CNP.0027682) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457953093

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTINA VILCHEZCredential: NP

Location Address2109 HUGHES DR STE 860Toledo, OH 43606-3856

Mailing Address4320 Imperial DrToledo, OH 43615-1216 · (419) 450-5295

Phone(419) 291-3674

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 9, 2020

Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration

NPPES CertifiedMarch 2, 2023

✔ NPI 1457953093 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 OH · APRN.CNP.0027682

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.

2109 HUGHES DR STE 860, Toledo, OH 43606

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Tina Vilchez Np 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 ID2365856135

PECOS Enrollment IDI20210208000737

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

108 services98 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

54 services48 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230099

Location718 N Macomb StMonroe, MI 48162 · Monroe County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360156

Location715 South Taft AvenueFremont, OH 43420 · Sandusky County

Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360259

Location2801 Bay Park DriveOregon, OH 43616 · Lucas County

Emergency services Birthing friendly

Promedica Defiance Regional Hospital

Critical Access Hospitals · Defiance, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361328

Location1200 Ralston AvenueDefiance, OH 43512 · Defiance County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

ERICA GODSEY CNP

Nurse Practitioner (Family)

2109 HUGHES DR STE 860
TOLEDO, OH 43606

Lucas County (419) 291-2210

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 Tina Vilchez's NPI number?

The NPI number for Tina Vilchez is 1457953093. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is Tina Vilchez located?

Tina Vilchez practices at 2109 Hughes Dr Ste 860, Toledo, OH 43606. The listed phone number is (419) 291-3674.

What is Tina Vilchez's specialty?

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

Is Tina Vilchez enrolled in Medicare?

Yes. Tina Vilchez 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.

What insurance does Tina Vilchez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Tina Vilchez 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.

Is Tina Vilchez affiliated with any hospitals?

According to CMS data, Tina Vilchez is affiliated with Promedica Monroe Regional Hospital, Promedica Toledo Hospital, Memorial Hospital, Bay Park Community Hospital and Promedica Defiance Regional Hospital.

When was this NPI record last updated?

The NPPES record for Tina Vilchez was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.