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

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: August 02, 2026.

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

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
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

Other Identifiers 1

Medicaid707910AZ

Accepted Insurance

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

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.

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
Quality40.35
Promoting Interoperability0
Improvement Activities40
Cost38.4

Other Providers at the Same Location NPPES 10

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

Clinic/Center (Multi-Specialty)
5055 E BROADWAY BLVD STE A200
TUCSON, AZ 85711
Nurse Practitioner (Psychiatric/Mental Health)
5055 E BROADWAY BLVD STE A200
TUCSON, AZ 85711
Social Worker
5055 E BROADWAY BLVD STE A200
TUCSON, AZ 85711
Nurse Practitioner (Psychiatric/Mental Health)
5055 E BROADWAY BLVD STE A200
TUCSON, AZ 85711
Counselor (Professional)
5055 E BROADWAY BLVD STE A200
TUCSON, AZ 85711
Clinic/Center (Multi-Specialty)
5055 E BROADWAY BLVD STE A200
TUCSON, AZ 85711
Counselor (Professional)
5055 E BROADWAY BLVD STE A200
TUCSON, AZ 85711
Counselor (Professional)
5055 E BROADWAY BLVD STE A200
TUCSON, AZ 85711

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 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.

Where is Sylvia Valenzuela located?

Sylvia Valenzuela practices at 5055 E Broadway Blvd Ste A200, Tucson, AZ 85711. The listed phone number is (520) 721-1887.

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.

Is Sylvia Valenzuela enrolled in Medicare?

Yes. Sylvia Valenzuela 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.

What insurance does Sylvia Valenzuela accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Sylvia Valenzuela 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 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 23 months 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.