Tina Fawcett, AGACNP - Medicare Nurse Practitioner in Flagstaff, AZ

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Tina Fawcett, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Flagstaff, Arizona. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northern Arizona Pulmonary Associates Llc, Sarah Patel Md Pc, Summit Healthcare Medical Associates and her current practice location is 1360 N Rim Dr, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 774-8000.

Tina Fawcett is licensed to practice in Arizona (license number AP8563) 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 1326422700.

Contact Information

Tina Fawcett, AGACNP
1360 N Rim Dr,
Flagstaff, AZ 86001-3111
(928) 774-8000
(928) 774-0372

Map and Direction




Provider's Profile

Full NameTina Fawcett
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1360 N Rim Dr, Flagstaff, 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:
  • Tina Fawcett graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1326422700
  • Provider Enumeration Date: 07/15/2015
  • Last Update Date: 12/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9931416013
  • Enrollment ID: I20160914002748

Medical Identifiers

Medical identifiers for Tina Fawcett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326422700NPI-NPPES
AP8563OtherAZARIZONA LICENSE
176578MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 354619-4405 (Utah)Secondary
363LA2100XNurse Practitioner - Acute Care AP8563 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summit Healthcare Regional Medical CenterShow low, AZHospital
Flagstaff Medical CenterFlagstaff, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northern Arizona Pulmonary Associates Llc70120734555
Sarah Patel Md Pc86284058345
Summit Healthcare Medical Associates872920573766

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. Tina Fawcett allows following entities to bill medicare on her behalf.
Entity NameNorthern Arizona Pulmonary Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659516987
PECOS PAC ID: 7012073455
Enrollment ID: O20090310000149
Entity NameSummit Healthcare Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467878108
PECOS PAC ID: 8729205737
Enrollment ID: O20140815000931
Entity NameSarah Patel Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609423987
PECOS PAC ID: 8628405834
Enrollment ID: O20200407001984

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. Tina Fawcett 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
Tina Fawcett, AGACNP
1360 N Rim Dr,
Flagstaff, AZ 86001-3111

Ph: (928) 773-0003		Tina Fawcett, AGACNP
1360 N Rim Dr,
Flagstaff, AZ 86001-3111

Ph: (928) 774-8000

Reviews and Comments


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Dr. Evenstar Amelia Forbach, DNP
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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.