STEPHANIE TANWANGCO FNP
NPI 1548985203
Nurse Practitioner - Family in Granite City, IL

Q: What is Stephanie Tanwangco's NPI number?

The NPI number for Stephanie Tanwangco is 1548985203. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Q: What is Stephanie Tanwangco's specialty?

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

Active since October 05, 2022PECOS Enrolled

50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040(618) 877-4420 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2022, Oct 5, 2022 (2 updates tracked since 2022).

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About Stephanie Tanwangco Fnp NPPES

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

STEPHANIE TANWANGCO FNP (NPI 1548985203) is an individual family provider in Granite City, Illinois, licensed in Illinois (209.026111) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548985203

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHANIE TANWANGCOCredential: FNP

Location Address50 NORTHGATE INDUSTRIAL DRGranite City, IL 62040-6805

Mailing Address448 Wylie DrNormal, IL 61761-5405 · (888) 924-3786

Phone(618) 877-4420

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 5, 2022

Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration

NPPES CertifiedDecember 13, 2022

✔ NPI 1548985203 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 IL · 209.026111

50 NORTHGATE INDUSTRIAL DR, Granite City, IL 62040

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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 (PECOS)

Stephanie Tanwangco Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264801562

PECOS Enrollment IDI20221208001172

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 62040 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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 20

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

KRISTLE KAPP M.A.

Counselor (Mental Health)