Mrs Tialicka Burgos Johnson, WHNP-BC in Holloman Afb, NM

Mrs Tialicka Burgos Johnson, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Holloman Afb, New Mexico. Her current practice location is 49 Mdg, 280 David L Goldfein St, Holloman Afb, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 572-3069.

Mrs Tialicka Burgos Johnson is licensed to practice in Virginia (license number 24176717) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891159463.

Contact Information

	Mrs Tialicka Burgos Johnson, WHNP-BC
	49 Mdg, 280 David L Goldfein St, Holloman Afb, NM 88330-8273
	(575) 572-3069
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tialicka Burgos Johnson
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	49 Mdg, Holloman Afb, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891159463
Provider Enumeration Date: 04/11/2016
Last Update Date: 07/10/2025

Medicare PECOS Information:

PECOS PAC ID: 3072918911
Enrollment ID: I20210816003163

Medical Identifiers

Medical identifiers for Mrs Tialicka Burgos Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891159463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	24176717 (Virginia)	Primary

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 Tialicka Burgos Johnson 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 Address	Practice Location Address
Mrs Tialicka Burgos Johnson, WHNP-BC 49 Mdg, 280 David L Goldfein St, Holloman Afb, NM 88330-8273 Ph: (575) 572-3069	Mrs Tialicka Burgos Johnson, WHNP-BC 49 Mdg, 280 David L Goldfein St, Holloman Afb, NM 88330-8273 Ph: (575) 572-3069

Reviews and Comments

Nurse Practitioner Nurses in Holloman Afb, NM

Catherine Ramig, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 280 David L Goldfein St, Holloman Afb, NM 88330 Phone: 575-572-4888
Mrs. Debra Ann Smith, RNC, MS, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49th Medical Group/sgomw, 280 First Street, Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-5874 Fax: 575-572-2259
Kendall Cannon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 280 David L Goldfein St Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-2778
Jana Joel Mcburney, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 1st St, Holloman Afb, NM 88330 Phone: 575-572-3041 Fax: 575-572-2259
Ami Kathleen Kowalski, LNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3063 White Sands Ct, Holloman Afb, NM 88330 Phone: 603-508-1234
Tod Anthony Giglio, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 280 First St, Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-7919
Stephanie Doane, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 280 1st St Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-5374

Mrs Tialicka Burgos Johnson, WHNP-BC - Medicare Nurse Practitioner in Holloman Afb, NM