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SUZANNE M TILLMAN DNP, APRN, NNP-BC
NPI 1639728777
Nurse Practitioner - Neonatal in Casa Grande, AZ

Active since September 11, 2019PECOS Enrolled
1800 E FLORENCE BLVD, CASA GRANDE, AZ 85122(678) 296-9105 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2023, Sep 11, 2019 (2 updates tracked since 2019).

About Suzanne M Tillman Dnp, Aprn, Nnp-bc NPPES

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

SUZANNE M TILLMAN DNP, APRN, NNP-BC (NPI 1639728777) is an individual neonatal provider in Casa Grande, Arizona, licensed in Florida (11027042) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lawrenceville, and is a graduate of Duke University School Of Medicine (2011).

NPPES Registry Identity

NPI1639728777
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameSUZANNE M TILLMANCredential: DNP, APRN, NNP-BC
Location Address1800 E FLORENCE BLVDCasa Grande, AZ 85122-5303
Mailing Address1608 Mulberry Lake DrDacula, GA 30019-4638 · (678) 296-9105
Phone(678) 296-9105
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2011
Enumeration DateSeptember 11, 2019
Last NPPES UpdateJanuary 24, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1639728777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
Licenses✔ Licensed in FL · 11027042✔ Licensed in AZ · 291116
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License RN102011 (GA)
1800 E FLORENCE BLVD, Casa Grande, AZ 85122
Open in Google Maps ↗

Secondary Practice Location 1

Location 1550 Medical Center BlvdLawrenceville, GA 30046-7688 · Phone (678) 312-3970

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc 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 (PECOS)

Suzanne M Tillman Dnp, Aprn, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981100237
PECOS Enrollment IDI20251004000274
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 Reassignment

Medicare enrollment records show Suzanne Tillman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation
1,775 mi
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85122 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.

DR. RUSTOM ARAIA PHARMD
Pharmacist
1800 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (520) 381-6400
SARAH M PRZYBYLA PA
Physician Assistant
1800 E FLORENCE BLVD, CASA GRANDE REGIONAL MEDICAL CENTER
CASA GRANDE, AZ 85122
Pinal County (520) 381-6368
DR. KONSTANTIN MAZURSKY D.O
Hospitalist
1800 E FLORENCE BLVD, ATTN: HOSPITALIST TEAM
CASA GRANDE, AZ 85122
Pinal County (480) 543-2034
PRANAV PILLAI MD
Hospitalist
1800 E FLORENCE BLVD, ATTN: BMG HOSPITALISTS/AMANDA GUMP
CASA GRANDE, AZ 85122
Pinal County (480) 543-2034
DR. ZACHARY EDWARDS DO
Emergency Medicine
1800 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (419) 251-4724
DR. JUSTIN JOSEPH PATTEE D.O.
Emergency Medicine
1800 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (801) 735-6896
DANIEL MYUNGHUN CHOI MD
Emergency Medicine
1800 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (520) 381-6300
KRISTIN MARIE GERDES CRNA
Nurse Anesthetist, Certified Registered
1800 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Pinal County (520) 381-6150

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 Suzanne Tillman's NPI number?

The NPI number for Suzanne Tillman is 1639728777. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Suzanne Tillman located?

Suzanne Tillman practices at 1800 E Florence Blvd, Casa Grande, AZ 85122. The listed phone number is (678) 296-9105.

What is Suzanne Tillman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Suzanne Tillman enrolled in Medicare?

Yes. Suzanne Tillman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Suzanne Tillman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Tillman reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). The 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 Suzanne Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzanne Tillman accept?

Health plans from AmeriHealth Caritas Next, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Suzanne Tillman 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 Suzanne Tillman was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.