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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MILDRED DENISE KIAWOIN FNP
NPI 1710592530
Nurse Practitioner - Family in Glendale, AZ

Active since September 09, 2020PECOS Enrolled
18275 N 59TH AVE STE 126, GLENDALE, AZ 85308(520) 399-6181(877) 349-6973 Get Directions Write a Review

NPPES record last updated: October 18, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 18, 2026, Sep 18, 2026, Aug 11, 2026 and 1 more (4 updates tracked since 2020).

About Mildred Denise Kiawoin Fnp NPPES

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

MILDRED DENISE KIAWOIN FNP (NPI 1710592530) is an individual family provider in Glendale, Arizona, licensed in Arizona (267064) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1710592530
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMILDRED DENISE KIAWOINCredential: FNP
Location Address18275 N 59TH AVE STE 126Glendale, AZ 85308-1252
Mailing Address18591 N 59th AveGlendale, AZ 85308-1251 · (602) 789-1166
Phone(520) 399-6181
Fax(877) 349-6973
Sole ProprietorNo
Enumeration DateSeptember 9, 2020
Last NPPES UpdateOctober 18, 20264 updates tracked since enumeration
NPPES CertifiedOctober 18, 2026
✔ NPI 1710592530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 267064
Also ListedNurse PractitionerTaxonomy 363L00000X · License 8864 (MN)
18275 N 59TH AVE STE 126, Glendale, AZ 85308
Open in Google Maps ↗

Secondary Practice Location 1

Location 118591 N 59th AveGlendale, AZ 85308-1251 · Phone (602) 789-1166

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mildred Denise Kiawoin 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mildred Kiawoin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sir Isaac LLC
Same address
Health Service
18275 N 59TH AVE STE 128
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
NPI 1750124459 (763) 639-1269
Corner Health Medical Group P A
16 mi
Family
2 N CENTRAL AVE
Phoenix, AZ 85004
  • Reassigned Medicare billing, Arizona enrollment
  • 90 clinicians in this Medicare group
NPI 1205689171 (602) 123-4567

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 85308 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.

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 Mildred Kiawoin's NPI number?

The NPI number for Mildred Kiawoin is 1710592530. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Mildred Kiawoin located?

Mildred Kiawoin practices at 18275 N 59th Ave Ste 126, Glendale, AZ 85308. The listed phone number is (520) 399-6181.

What is Mildred Kiawoin's specialty?

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

Is Mildred Kiawoin enrolled in Medicare?

Yes. Mildred Kiawoin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mildred Kiawoin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mildred Kiawoin reassigns Medicare benefits to 2 organizations: Sir Isaac LLC (Glendale, AZ) and Corner Health Medical Group P A (Phoenix, AZ). Each 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 Mildred Kiawoin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mildred Kiawoin was last updated on October 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.