TAWNY NICOLE CASALLO
NPI 1710851894
Nurse Practitioner - Family in Henderson, NV

Active since October 01, 2025PECOS EnrolledAccepts Medicare Assignment
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014(702) 777-8687 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 24, 2025, Nov 23, 2025 (2 updates tracked since 2025).

About Tawny Nicole Casallo NPPES

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

TAWNY NICOLE CASALLO (NPI 1710851894) is an individual family provider in Henderson, Nevada, licensed in Nevada (895795) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710851894
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAWNY NICOLE CASALLO
Location Address874 AMERICAN PACIFIC DRHenderson, NV 89014-8800
Mailing Address874 American Pacific DrHenderson, NV 89014-8800 · (702) 777-8687
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 1, 2025
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
NPI 1710851894 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 NV · 895795
874 AMERICAN PACIFIC DR, Henderson, NV 89014

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

Tawny Nicole Casallo 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 ID7719461318
PECOS Enrollment IDI20260321000355, I20260507003310
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



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.12 for a new patient copayment and $25.15 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 89014 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.51
  • Minimum New Patient Price $57.07
  • Maximum New Patient Price $173.24
  • Average New Patient Copayment $22.12
  • Minimum New Patient Copayment $14.26
  • Maximum New Patient Copayment $43.31

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.6
  • Minimum Established Patient Price $18.27
  • Maximum Established Patient Price $140.96
  • Average Established Patient Copayment $25.15
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.24

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Physician Assistant
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Physical Therapist (Pediatrics)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Neuromusculoskeletal Medicine & OMM
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Family Medicine
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Physician Assistant
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Specialist
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Physician Assistant (Medical)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Nurse Practitioner
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Neuromusculoskeletal Medicine & OMM
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Internal Medicine (Rheumatology)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Speech-Language Pathologist
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Physical Therapist
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Occupational Therapist (Pediatrics)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Physical Therapist
874 AMERICAN PACIFIC DR, SCHOOL OF PHYSICAL THERAPY
HENDERSON, NV 89014
Physical Therapist
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Physical Therapist
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Physical Therapist (Orthopedic)
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Occupational Therapist
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014
Occupational Therapist
874 AMERICAN PACIFIC DR
HENDERSON, NV 89014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710851894, enumerated as an "individual" on October 01, 2025.

The provider is located at 874 AMERICAN PACIFIC DR HENDERSON, NV 89014 and the phone number is (702) 777-8687.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.