SYLVIA PATRICIA VALENZUELA PMHNP, FNP-C
NPI 1578822680
Nurse Practitioner - Psychiatric/Mental Health in Tucson, AZ

Q: What is Sylvia Valenzuela's NPI number?

The NPI number for Sylvia Valenzuela is 1578822680. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Q: What is Sylvia Valenzuela's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Sylvia Valenzuela was last updated on August 14, 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.

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment

38.62/100

CMS Quality Rating

5055 E BROADWAY BLVD STE A200, TUCSON, AZ 85711(520) 721-1887(520) 721-0069 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2024, Jul 9, 2024, Oct 11, 2021 (3 updates tracked since 2021).

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About Sylvia Patricia Valenzuela Pmhnp, Fnp-c NPPES

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

SYLVIA PATRICIA VALENZUELA PMHNP, FNP-C (NPI 1578822680) is an individual psychiatric/mental health provider in Tucson, Arizona, licensed in Arizona (AP4470) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1578822680

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSYLVIA PATRICIA VALENZUELACredential: PMHNP, FNP-C

Location Address5055 E BROADWAY BLVD STE A200Tucson, AZ 85711-3649

Mailing AddressPo Box 86537Tucson, AZ 85754-6537 · (520) 721-1887 · Fax (520) 372-7126

Phone(520) 721-1887

Fax(520) 721-0069

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMay 9, 2012

Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1578822680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · AP4470

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP4470 (AZ)

5055 E BROADWAY BLVD STE A200, Tucson, AZ 85711

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Other Identifiers 1

Medicaid707910AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

Sylvia Patricia Valenzuela Pmhnp, Fnp-c 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 ID6901052166

PECOS Enrollment IDI20120803000764

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

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

Community Partners Integrated Healthcare Inc.

Same address

Multi-Specialty

5055 E BROADWAY BLVD STE B100
Tucson, AZ 85711

Reassigned Medicare billing, Arizona enrollment
49 clinicians in this Medicare group

NPI 1558020503 (520) 901-4800

Intermountain Health Center Inc

Same address

Multi-Specialty

5055 E BROADWAY BLVD STE C104
Tucson, AZ 85711

Reassigned Medicare billing, Arizona enrollment
25 clinicians in this Medicare group

NPI 1609245273 (520) 628-9833

Intermountain Centers For Human Development Inc.

2.2 mi

Community Based Residential Treatment Facility, Mental Illness

3626 E LEE ST BLDG 1
Tucson, AZ 85716

Reassigned Medicare billing, Arizona enrollment
20 clinicians in this Medicare group

NPI 1740378181 (520) 319-5477

Pain Institute Of Southern Arizona Pisa PC

6.3 mi

Pain Medicine

4582 N FIRST AVE, STE 170
Tucson, AZ 85718

Reassigned Medicare billing, Arizona enrollment
27 clinicians in this Medicare group

NPI 1861575078 (520) 318-6035

Pinal Hispanic Council

7.0 mi

Multi-Specialty

1773 W SAINT MARYS RD STE 105
Tucson, AZ 85745

Reassigned Medicare billing, Arizona enrollment
30 clinicians in this Medicare group

NPI 1396588836 (520) 622-8357

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 3

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.

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

107 services79 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

78 services70 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481

A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.

66 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85711 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

38.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

40.35

Promoting Interoperability

Improvement Activities

Cost

38.4

Other Providers at the Same Location NPPES 9

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

ASSURANCE ASSERTIVE COMMUNITY TREATMENT, LLC

Clinic/Center (Multi-Specialty)