Summer Yvonne Tilgner, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3726 Issued in AZ

Practice address

297 S. Lake Havasu Avenue
Ste 200
Lake Havasu City, AZ 86403

Phone

(928) 854-7666

Fax

(928) 854-7660

NPI assigned

Jul 19, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Summer Mason Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Innovative Health Care of Havasu LLC

  • Family Health Clinical Nurse Specialist
  • Lake Havasu City, AZ
  • NPI 1114230893

  AZ

  Medicare reassignment NPD Authorized official
• Theron C Tilgner D O LLC

  • Orthopaedic Surgery Physician
  • Lake Havasu City, AZ
  • NPI 1952370975

  AZ

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1265745277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 S. LAKE HAVASU AVENUE",
            "address_2": "STE 200",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86403",
            "telephone_number": "928-854-7666",
            "fax_number": "928-854-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 S. LAKE HAVASU AVENUE",
            "address_2": "STE 200",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86403",
            "telephone_number": "928-854-7666",
            "fax_number": "928-854-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILGNER",
        "first_name": "SUMMER",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "583431",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "MASON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• THN Hear, Inc
• Elisa Renee Thomas, R.N.
• Betty Jane Thornton Rounds, LCSW
• Thrive Healthcare FNP Inc
• Teresa J Tibbetts, MD
• Theron C Tilgner, D.O.
• Ankur Tiwari, PHARMACIST
• Tizon Emergency Associates, PLLC
• Treatment Assessment Screening Center, Inc
• Trinity Health & Wellness Family Practice PLLC

• All providers in Lake Havasu City, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.