Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CECILIA MARIA TALLO FNP-BC
NPI 1942115803
Nurse Practitioner - Family in Jacksonville, NC

Active since August 17, 2026PECOS EnrolledAccepts Medicare Assignment
461 WESTERN BLVD STE 122, JACKSONVILLE, NC 28546(910) 333-0283(910) 333-0513 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cecilia Maria Tallo Fnp-bc NPPES

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

CECILIA MARIA TALLO FNP-BC (NPI 1942115803) is an individual family provider in Jacksonville, North Carolina, licensed in North Carolina (5025182) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1942115803
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCECILIA MARIA TALLOCredential: FNP-BC
Location Address461 WESTERN BLVD STE 122Jacksonville, NC 28546-7637
Mailing Address461 Western Blvd Ste 122Jacksonville, NC 28546-7637 · (910) 333-0283 · Fax (910) 333-0513
Fax(910) 333-0513
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1942115803 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 NC · 5025182
461 WESTERN BLVD STE 122, Jacksonville, NC 28546

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cecilia Maria Tallo Fnp-bc 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 ID8820558778
PECOS Enrollment IDI20260901000744
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 Cecilia Tallo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
461 WESTERN BLVD STE 122
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 27 clinicians in this Medicare group

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 28546 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

General Practice
461 WESTERN BLVD STE 122
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
461 WESTERN BLVD STE 122
JACKSONVILLE, NC 28546
Nurse Practitioner (Adult Health)
461 WESTERN BLVD STE 122
JACKSONVILLE, NC 28546
Physician Assistant
461 WESTERN BLVD STE 122
JACKSONVILLE, NC 28546
Physician Assistant
461 WESTERN BLVD STE 122
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
461 WESTERN BLVD STE 122
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
461 WESTERN BLVD STE 122
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
461 WESTERN BLVD STE 122
JACKSONVILLE, NC 28546

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 Cecilia Tallo's NPI number?

The NPI number for Cecilia Tallo is 1942115803. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Cecilia Tallo located?

Cecilia Tallo practices at 461 Western Blvd Ste 122, Jacksonville, NC 28546. The listed phone number is (910) 333-0283.

What is Cecilia Tallo's specialty?

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

Is Cecilia Tallo enrolled in Medicare?

Yes. Cecilia Tallo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Cecilia Tallo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cecilia Tallo reassigns Medicare benefits to Star Medical Clinic PLLC (Jacksonville, NC). 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 Cecilia Tallo'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 Cecilia Tallo was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.