MS. TINA MICHELLE ELDRIGE
NPI 1629746409
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Tina Eldrige's NPI number?

The NPI number for Tina Eldrige is 1629746409. It was assigned to this individual provider in the NPPES registry on September 5, 2021.

Q: What is Tina Eldrige'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 Tina Eldrige was last updated on June 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 05, 2021PECOS EnrolledAccepts Medicare Assignment

610 E BASELINE RD STE 5, PHOENIX, AZ 85042(602) 230-7373(602) 441-5836 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2024, May 10, 2024, Oct 5, 2021 (3 updates tracked since 2021).

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About Ms. Tina Michelle Eldrige NPPES

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

MS. TINA MICHELLE ELDRIGE (NPI 1629746409) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (306836) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mesa, and is a graduate of University Of Arizona College Of Medicine (2023).

NPPES Registry Identity

NPI1629746409

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. TINA MICHELLE ELDRIGE

Location Address610 E BASELINE RD STE 5Phoenix, AZ 85042-6536

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455

Phone(602) 230-7373

Fax(602) 441-5836

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2023

Enumeration DateSeptember 5, 2021

Last NPPES UpdateJune 3, 20243 updates tracked since enumeration

NPPES CertifiedJune 3, 2024

✔ NPI 1629746409 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 · 306836

Also ListedRegistered NurseTaxonomy 163W00000X · License RN190854 (AZ)

610 E BASELINE RD STE 5, Phoenix, AZ 85042

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Secondary Practice Location 1

Location 11864 S HallMesa, AZ 85204-6887 · Phone (928) 581-2636

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.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

Ms. Tina Michelle Eldrige 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 ID1658818257

PECOS Enrollment IDI20240731003559

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 85042 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.

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.

JAMES WOGAN LAC

Counselor