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MRS. TIALICKA BURGOS JOHNSON WHNP-BC
NPI 1891159463
Nurse Practitioner - Women's Health in Holloman Afb, NM

Active since April 11, 2016PECOS Enrolled
49 MDG, 280 DAVID L GOLDFEIN ST, HOLLOMAN AFB, NM 88330(575) 572-3069 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2025, Nov 17, 2021, Dec 6, 2018 (3 updates tracked since 2018).

About Mrs. Tialicka Burgos Johnson Whnp-bc NPPES

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

MRS. TIALICKA BURGOS JOHNSON WHNP-BC (NPI 1891159463) is an individual women's health provider in Holloman Afb, New Mexico, licensed in Virginia (24176717) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891159463
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. TIALICKA BURGOS JOHNSONCredential: WHNP-BC
Location Address49 MDG, 280 DAVID L GOLDFEIN STHolloman Afb, NM 88330-8273
Mailing Address49 Mdg, 280 David L Goldfein StHolloman Afb, NM 88330-8273 · (575) 572-3069
Phone(575) 572-3069
Sole ProprietorNo
Enumeration DateApril 11, 2016
Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1891159463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in VA · 24176717
49 MDG, Holloman Afb, NM 88330
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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 (PECOS)

Mrs. Tialicka Burgos Johnson Whnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88330 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 4

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

KAITLYN M SHAUGHNESSY DPT
Physical Therapist
49 MDG, 280 DAVID L. GOLDFEIN ST, BLDG 23
HOLLOMAN AFB, NM 88330
Otero County (575) 572-8860
MS. CYNTHIA ANN LOCKROW LCSW
Social Worker (Clinical)
49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 23
HOLLOMAN AFB, NM 88330
Otero County (575) 572-8390
DR. ZACHARY MICHAEL DREADEN D.O.
General Practice
49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 23
HOLLOMAN AFB, NM 88330
Otero County (575) 572-0551
REGINA MARIE ORTEGA ASW
Social Worker (Clinical)
49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 23,
HOLLOMAN AFB, NM 88330
Otero County (575) 572-5676

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 Tialicka Johnson's NPI number?

The NPI number for Tialicka Johnson is 1891159463. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Tialicka Johnson located?

Tialicka Johnson practices at 49 Mdg 280 David L Goldfein St, Holloman Afb, NM 88330. The listed phone number is (575) 572-3069.

What is Tialicka Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Tialicka Johnson enrolled in Medicare?

Yes. Tialicka Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tialicka Johnson was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.