TABITHA L. FITZGERALD
NPI 1508116047
Nurse Practitioner - Family in Yucca Valley, CA

Active since September 12, 2012PECOS EnrolledAccepts Medicare Assignment
55887 YUCCA TRL, YUCCA VALLEY, CA 92284(760) 365-0804 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tabitha L. Fitzgerald NPPES

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

TABITHA L. FITZGERALD (NPI 1508116047) is an individual family provider in Yucca Valley, California, licensed in California (NP95031579) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508116047
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTABITHA L. FITZGERALD
Location Address55887 YUCCA TRLYucca Valley, CA 92284-2546
Mailing Address55887 Yucca TrlYucca Valley, CA 92284-2546 · (760) 365-0804
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 12, 2012
Last NPPES UpdateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1508116047 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 CA · NP95031579
55887 YUCCA TRL, Yucca Valley, CA 92284

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

Tabitha L. Fitzgerald 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 ID3678078714
PECOS Enrollment IDI20250928000196
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 Tabitha Fitzgerald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
47111 MONROE ST
Indio, CA 92201
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
Surgery
2801 K STREET SUITE 440
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 266 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92284 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 6

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

Family Medicine
55887 YUCCA TRL
YUCCA VALLEY, CA 92284
Clinic/Center (Primary Care)
55887 YUCCA TRL
YUCCA VALLEY, CA 92284
Chiropractor
55887 YUCCA TRL
YUCCA VALLEY, CA 92284
Acupuncturist
55887 YUCCA TRL
YUCCA VALLEY, CA 92284
Chiropractor
55887 YUCCA TRL
YUCCA VALLEY, CA 92284
Chiropractor
55887 YUCCA TRL
YUCCA VALLEY, CA 92284

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 Tabitha Fitzgerald's NPI number?

The NPI number for Tabitha Fitzgerald is 1508116047. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Where is Tabitha Fitzgerald located?

Tabitha Fitzgerald practices at 55887 Yucca Trl, Yucca Valley, CA 92284. The listed phone number is (760) 365-0804.

What is Tabitha Fitzgerald's specialty?

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

Is Tabitha Fitzgerald enrolled in Medicare?

Yes. Tabitha Fitzgerald 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 Tabitha Fitzgerald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Fitzgerald reassigns Medicare benefits to 2 organizations: Santa Ana Physicians Group, PC (Indio, CA) and Acute Care Surgery Medical Group, Inc. (Sacramento, 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 Tabitha Fitzgerald'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 Tabitha Fitzgerald was last updated on October 3, 2024. 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.