Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Katherine Elaine Tavares, FNP-BC

Individual provider Registered Nurse · NPI 1992433874

Katherine Elaine Tavares, FNP-BC is a Nurse Practitioner in Peridot, Arizona. Qualified in 2022, 4 years ago. Practices with San Carlos Apache Healthcare Corporation, a 145-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

103 Medicine Way Rd
Peridot, AZ 85542-5000
Phone: (928) 475-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 279367 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN105209 (AZ)

Record details

NPI number1992433874
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 16, 2022
Certification dateAugust 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice San Carlos Apache Healthcare Corporation — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients113
Services billed 179 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at San Carlos Apache Healthcare Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 145 clinicians in the practice; 12 are shown here.

Other providers in Peridot