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: August 09, 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
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

Secondary Practice Location 1

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

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 (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.

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.

Pharmacist
1800 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Physician Assistant
1800 E FLORENCE BLVD, CASA GRANDE REGIONAL MEDICAL CENTER
CASA GRANDE, AZ 85122
Hospitalist
1800 E FLORENCE BLVD, ATTN: HOSPITALIST TEAM
CASA GRANDE, AZ 85122
Hospitalist
1800 E FLORENCE BLVD, ATTN: BMG HOSPITALISTS/AMANDA GUMP
CASA GRANDE, AZ 85122
Emergency Medicine
1800 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Emergency Medicine
1800 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Emergency Medicine
1800 E FLORENCE BLVD
CASA GRANDE, AZ 85122
Nurse Anesthetist, Certified Registered
1800 E FLORENCE BLVD
CASA GRANDE, AZ 85122

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.

What insurance does Suzanne Tillman accept?

Health plans from AmeriHealth Caritas Next and Blue Cross Blue Shield of Arizona 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 18 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.