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

Q: 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.

Q: What is Cecilia Tallo's specialty?

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

Q: 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 51 days 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.

Active since August 17, 2026PECOS Enrolled

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 04, 2026.

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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.

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

Phone(910) 333-0283

Fax(910) 333-0513

Sole ProprietorNo

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

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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)

Cecilia Maria Tallo Fnp-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 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.

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