Mrs Licel Tumpap, FNP-C - Medicare Nurse Practitioner in Mesa, AZ

Mrs Licel Tumpap, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Mesa, Arizona. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Desert Kidney Associates Plc and her current practice location is 612 W Baseline Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 834-9039.

Mrs Licel Tumpap is licensed to practice in Arizona (license number AP10091) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104344969.

Contact Information

Mrs Licel Tumpap, FNP-C
612 W Baseline Rd,
Mesa, AZ 85210-6041
(480) 834-9039
(480) 964-7802

Map and Direction




Provider's Profile

Full NameMrs Licel Tumpap
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location612 W Baseline Rd, Mesa, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Licel Tumpap graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1104344969
  • Provider Enumeration Date: 08/31/2017
  • Last Update Date: 10/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0244506863
  • Enrollment ID: I20171026002684

Medical Identifiers

Medical identifiers for Mrs Licel Tumpap such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104344969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP10091 (Arizona)Secondary
363LF0000XNurse Practitioner - Family AP10091 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Desert Kidney Associates Plc428461128626

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Licel Tumpap allows following entities to bill medicare on her behalf.
Entity NameDesert Kidney Associates Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144372905
PECOS PAC ID: 4284611286
Enrollment ID: O20040707000402

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Licel Tumpap is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Licel Tumpap, FNP-C
2210 E La Costa Dr,
Gilbert, AZ 85298-9738

Ph: (480) 628-3066
Mrs Licel Tumpap, FNP-C
612 W Baseline Rd,
Mesa, AZ 85210-6041

Ph: (480) 834-9039

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.