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LIGIA LIANA TOFANEL FNP
NPI 1578075081
Nurse Practitioner - Family in Waco, TX

Active since October 25, 2017PECOS EnrolledAccepts Medicare Assignment
333 LONDONDERRY DR STE 200, WACO, TX 76712(254) 751-9777(254) 751-9788 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2022, Oct 20, 2020, Oct 25, 2017 (3 updates tracked since 2017).

About Ligia Liana Tofanel Fnp NPPES

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

LIGIA LIANA TOFANEL FNP (NPI 1578075081) is an individual family provider in Waco, Texas, licensed in Texas (AP135574) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1578075081
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLIGIA LIANA TOFANELCredential: FNP
Location Address333 LONDONDERRY DR STE 200Waco, TX 76712-7930
Mailing Address333 Londonderry Dr Ste 200Waco, TX 76712-7930 · (254) 751-9777 · Fax (254) 751-9788
Phone(254) 751-9777
Fax(254) 751-9788
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 25, 2017
Last NPPES UpdateDecember 7, 20223 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1578075081 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 TX · AP135574
333 LONDONDERRY DR STE 200, Waco, TX 76712
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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Ligia Liana Tofanel Fnp 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 ID5890053656
PECOS Enrollment IDI20171227002601
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

5

Medicare enrollment records show Ligia Tofanel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Of Texas Community Health Center Inc
1.0 mi
Federally Qualified Health Center (FQHC)
6500 IMPERIAL DR., STE 200
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 166 clinicians in this Medicare group
NPI 1386427334 (253) 313-6600
Vesper Medical Care PLLC
1.3 mi
General Practice
8416 OLD MCGREGOR RD
Woodway, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 39 clinicians in this Medicare group
NPI 1164096145 (254) 307-3997
Well Crest Medical Clinic PLLC
74 mi
Internal Medicine
11803 SOUTH FWY STE 205
Burleson, TX 76028
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1083162093 (817) 615-8627
Curana Health Medical Group LLC
84 mi
Internal Medicine
8911 N CAPITAL OF TEXAS HWY STE 1110
Austin, TX 78759
  • Reassigned Medicare billing, Texas enrollment
  • 338 clinicians in this Medicare group
NPI 1255640678 (337) 991-9276
Signify Health Medical Associates, PLLC
100 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

Areas of Expertise CMS Part B claims 8

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
397 services105 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
329 services67 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
152 services48 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
36 services32 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
23 services20 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers15 claims174 services$19.11 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers16 claims481 services$2.40 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
21 suppliers72 claims294 services$6.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers22 claims50 services$1.06 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier11 claims11 services$294.70 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers17 claims1,460 services$6.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SUNNY GILLIAM APRN, FNP-C
Nurse Practitioner (Family)
333 LONDONDERRY DR STE 200
WACO, TX 76712
McLennan County (254) 751-9777
THERESA LYNN HADDOX NURSE PRACTITIONER
Internal Medicine (Endocrinology, Diabetes & Metabolism)
333 LONDONDERRY DR STE 200
WACO, TX 76712
McLennan County (254) 751-9777
DR. KRISTA CHER KUMAHATA FNP
Nurse Practitioner
333 LONDONDERRY DR STE 200
WACO, TX 76712
McLennan County (254) 751-9777

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 Ligia Tofanel's NPI number?

The NPI number for Ligia Tofanel is 1578075081. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Ligia Tofanel located?

Ligia Tofanel practices at 333 Londonderry Dr Ste 200, Waco, TX 76712. The listed phone number is (254) 751-9777.

What is Ligia Tofanel's specialty?

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

Is Ligia Tofanel enrolled in Medicare?

Yes. Ligia Tofanel 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 Ligia Tofanel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ligia Tofanel reassigns Medicare benefits to 5 organizations: Heart Of Texas Community Health Center Inc (Waco, TX), Vesper Medical Care PLLC (Woodway, TX), Well Crest Medical Clinic PLLC (Burleson, TX), Curana Health Medical Group LLC (Austin, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Ligia Tofanel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ligia Tofanel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Ligia Tofanel 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 Ligia Tofanel was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.