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TATIANA ELOISA HUEZO FNP-C
NPI 1750048260
Nurse Practitioner - Family in Sausalito, CA

Active since November 18, 2021PECOS Enrolled
3 HARBOR DR STE 111, SAUSALITO, CA 94965(415) 683-2988(415) 683-2980 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tatiana Eloisa Huezo Fnp-c NPPES

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

TATIANA ELOISA HUEZO FNP-C (NPI 1750048260) is an individual family provider in Sausalito, California, licensed in California (95018460) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1750048260
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTATIANA ELOISA HUEZOCredential: FNP-C
Location Address3 HARBOR DR STE 111Sausalito, CA 94965
Mailing Address3 Harbor Dr Ste 111Sausalito, CA 94965 · (415) 683-2988 · Fax (415) 683-2980
Phone(415) 683-2988
Fax(415) 683-2980
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 18, 2021
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1750048260 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 CA · 95018460
3 HARBOR DR STE 111, Sausalito, CA 94965
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatiana Eloisa Huezo Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769826163
PECOS Enrollment IDI20240213004088
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 Tatiana Huezo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Univ Of California Ucsf
6.0 mi
Internal Medicine
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1124439807 (415) 476-1000

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
288 services217 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94965 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADITI AHLAWAT M.D.
Psychiatry & Neurology (Neurology)
3 HARBOR DR STE 111
SAUSALITO, CA 94965
Marin County (415) 683-2988
LESLIE C WEST MD
Psychiatry & Neurology (Sleep Medicine)
3 HARBOR DR STE 111
SAUSALITO, CA 94965
Marin County (415) 683-2988
MICHAEL C CHASE MD
Internal Medicine
3 HARBOR DR STE 111
SAUSALITO, CA 94965
Marin County (415) 683-2988
DR. SIEGRIED AUDFREY FLORES CHIN MD
Internal Medicine
3 HARBOR DR STE 111
SAUSALITO, CA 94965
Marin County (415) 683-2988
NADINE ALDAHHAN DO
Family Medicine
3 HARBOR DR STE 111
SAUSALITO, CA 94965
Marin County (415) 683-2988
REBECCA DUTTA
Psychiatry & Neurology (Neurology)
3 HARBOR DR STE 111
SAUSALITO, CA 94965
Marin County (415) 683-2988
DR. KATHLEEN CRUZ ZUNIGA MD
Family Medicine
3 HARBOR DR STE 111
SAUSALITO, CA 94965
Marin County (915) 215-8000
HANNAH KATAGIRI NP
Nurse Practitioner (Family)
3 HARBOR DR STE 111
SAUSALITO, CA 94965
Marin County (415) 683-2988

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 Tatiana Huezo's NPI number?

The NPI number for Tatiana Huezo is 1750048260. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Tatiana Huezo located?

Tatiana Huezo practices at 3 Harbor Dr Ste 111, Sausalito, CA 94965. The listed phone number is (415) 683-2988.

What is Tatiana Huezo's specialty?

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

Is Tatiana Huezo enrolled in Medicare?

Yes. Tatiana Huezo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tatiana Huezo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tatiana Huezo reassigns Medicare benefits to Regents Univ Of California Ucsf (San Francisco, CA). 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 Tatiana Huezo'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 Tatiana Huezo was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.