ATHENA TRUJILLO FNP
NPI 1629563861
Nurse Practitioner - Family in Tacoma, WA

Q: What is Athena Trujillo's NPI number?

The NPI number for Athena Trujillo is 1629563861. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Q: What is Athena Trujillo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Athena Trujillo was last updated on November 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 29, 2018PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2462 Get Directions Write a Review

NPPES record last updated: November 27, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 27, 2020, Jul 27, 2020, Jul 24, 2020 and 3 more (6 updates tracked since 2018).

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About Athena Trujillo Fnp NPPES

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

ATHENA TRUJILLO FNP (NPI 1629563861) is an individual family provider in Tacoma, Washington, licensed in California (95009117) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629563861

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameATHENA TRUJILLOCredential: FNP

Location Address9040 JACKSON AVETacoma, WA 98431-6916

Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-2462 · Fax (253) 968-3874

Phone(253) 968-2462

Sole ProprietorNo

Enumeration DateJune 29, 2018

Last NPPES UpdateNovember 27, 20206 updates tracked since enumeration

NPPES CertifiedNovember 27, 2020

✔ NPI 1629563861 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 · 95009117

9040 JACKSON AVE, Tacoma, WA 98431

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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)

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

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 98431 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered