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MR. EDGAR ESTEBAN PORTILLO FNP-BC
NPI 1467690701
Nurse Practitioner - Family in Tucson, AZ

Active since January 24, 2009PECOS EnrolledAccepts Medicare Assignment
3690 S PARK AVE STE 805, TUCSON, AZ 85713(520) 616-6760(520) 616-6799 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Edgar Esteban Portillo Fnp-bc NPPES

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

MR. EDGAR ESTEBAN PORTILLO FNP-BC (NPI 1467690701) is an individual family provider in Tucson, Arizona, licensed in Arizona (AP3259) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1467690701
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. EDGAR ESTEBAN PORTILLOCredential: FNP-BC
Location Address3690 S PARK AVE STE 805Tucson, AZ 85713-5042
Mailing AddressPo Box 188Marana, AZ 85653-0188 · (520) 682-4111 · Fax (520) 616-1442
Phone(520) 616-6760
Fax(520) 616-6799
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 24, 2009
Last NPPES UpdateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1467690701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP3259
3690 S PARK AVE STE 805, Tucson, AZ 85713
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

Mr. Edgar Esteban Portillo Fnp-bc 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 ID143509216
PECOS Enrollment IDI20161111001564
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

2

Medicare enrollment records show Edgar Portillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tucson Physician Group Holdings, LLC
4.1 mi
Interventional Cardiology
395 N SILVERBELL RD STE 355
Tucson, AZ 85745
  • Reassigned Medicare billing, Arizona enrollment
  • 293 clinicians in this Medicare group
NPI 1356726939 (520) 622-5912
Marana Health Center Inc
6.8 mi
Federally Qualified Health Center (FQHC)
899 N WILMOT RD STE E
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 169 clinicians in this Medicare group
NPI 1396512034 (520) 290-1100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85713 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
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 19

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

DR. CHRISTIAN RENE MENDOZA TEJEDOR MD
Internal Medicine
3690 S PARK AVE STE 805
TUCSON, AZ 85713
Pima County (520) 616-6760
MARANA HEALTH CENTER INC
Pharmacy (Clinic Pharmacy)
3690 S PARK AVE STE 805
TUCSON, AZ 85713
Pima County (520) 616-6778
ARIANA BICKERTON LPC
Counselor (Professional)
3690 S PARK AVE STE 805
TUCSON, AZ 85713
Pima County (520) 616-6760
DR. THOMAS FRANKLIN WOODRUFF DDS
Dentist (General Practice)
3690 S PARK AVE STE 805
TUCSON, AZ 85713
Pima County (520) 616-6760
DR. SUSAN MARIE ROGERS NP
Nurse Practitioner (Psychiatric/Mental Health)
3690 S PARK AVE STE 805
TUCSON, AZ 85713
Pima County (520) 616-6760
MARANA HEALTH CENTER, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3690 S PARK AVE STE 805
TUCSON, AZ 85713
Pima County (520) 616-6760
ROSALINDA FLORES LPC
Counselor (Professional)
3690 S PARK AVE STE 805
TUCSON, AZ 85713
Pima County (520) 682-4111
HILDA RODRIGUEZ LCSW
Social Worker (Clinical)
3690 S PARK AVE STE 805
TUCSON, AZ 85713
Pima County (520) 616-6760

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 Edgar Portillo's NPI number?

The NPI number for Edgar Portillo is 1467690701. It was assigned to this individual provider in the NPPES registry on January 24, 2009.

Where is Edgar Portillo located?

Edgar Portillo practices at 3690 S Park Ave Ste 805, Tucson, AZ 85713. The listed phone number is (520) 616-6760.

What is Edgar Portillo's specialty?

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

Is Edgar Portillo enrolled in Medicare?

Yes. Edgar Portillo 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 Edgar Portillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Portillo reassigns Medicare benefits to 2 organizations: Tucson Physician Group Holdings, LLC (Tucson, AZ) and Marana Health Center Inc (Tucson, AZ). 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 Edgar Portillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgar Portillo accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Edgar Portillo 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 Edgar Portillo was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.