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

Q: What is Tawny Nicole Casallo's NPI number?

The NPI number for Tawny Nicole Casallo is 1710851894. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Q: What is Tawny Nicole Casallo's specialty?

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

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: August 16, 2026.

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

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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

Phone(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

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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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 89014 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

DUYEN CAO MEDICAL STUDENT

Student in an Organized Health Care Education/Training Program