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

Q: 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.

Q: What is Tabitha Fitzgerald's specialty?

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

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: August 09, 2026.

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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

Phone(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

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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

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.

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 7

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

NOWYSZ REGENERATIVE MEDICINE PC

Family Medicine