Felicia Mae Tillman, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

K1100 Issued in TX

Practice address

4200 Beckner Rd
Santa Fe, NM 87507-3774

Phone

(505) 477-2200

Fax

(505) 782-1902

NPI assigned

Aug 11, 2005

Last updated

May 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Felicia Tillman Toe Other name

Medicare fee-for-service enrollment

Enrolled in TX, CA, NM3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Obstetrics/Gynecology

Education

University of California, Davis School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Nexus HealthGroup PAC ID 9234509282, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Santa Fe Medical Center Hospital, Santa Fe, NM, CCN 320090
• Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: felicia.tillman@tx102.digichart.direct-ci.com
• Direct secure messaging: ftillman646752@hisp.ehr.sutterhealth.org

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

• Nexus Health

  • Multi-Specialty Clinic/Center
  • Santa Fe, NM
  • NPI 1801516489
  Medicare reassignment Care Compare group NPD
• Shannon Clinic

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1770587149

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Cottage Clinical Associates

  dba Cottage Children's Medical Group

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1235790544
  Medicare reassignment NPD
• Enloe Medical Center

  dba Enloe Women's Services

  • Obstetrics & Gynecology Physician
  • Chico, CA
  • NPI 1023420726
  Medicare reassignment NPD
• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769
  Medicare reassignment NPD
• Cottage Medical Foundation

  dba Cottage Medical Group

  • Clinic/Center
  • Santa Barbara, CA
  • NPI 1770352130
  NPD
• Enloe Medical Center

  dba Enloe Op Center Pharmacy

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD
• Sutter Valley Medical Foundation

  dba Sutter Gould Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986
  NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  NPD
• Nexus Health Primary Care LLC

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1093903320
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Healthcare Services

  dba Presbyterian Santa Fe Medical Center

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1730684853
  Care Compare affiliation
• St Vincent Hospital

  dba CHRISTUS St. Vincent Regional Medical Center

  • General Acute Care Hospital
  • Santa Fe, NM
  • NPI 1578587150
  Care Compare affiliation

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1356343149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR",
            "address_2": "SUITE # 460",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745481",
            "telephone_number": "972-644-2819",
            "fax_number": "972-680-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 BECKNER RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073774",
            "telephone_number": "505-477-2200",
            "fax_number": "505-782-1902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8160 Walnut Hill Ln",
            "address_2": "SUITE # 116",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314339",
            "country_code": "US",
            "telephone_number": "214-365-1150",
            "fax_number": "214-363-2477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "FELICIA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G79172",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "TOE",
            "middle_name": "TILLMAN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jill M Tiedemann, LPCC
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• Lauren K Tietz, LMT, CST, TRE
• Maria Anna Tiffany, LMFT
• Time 4 Change, LLC (Time 4 Change Wellness Solutions)
• Rachel Logan Timmerman
• Timothy Valentine (Timothy a Valentine PC)
• Tina Sanchez Psychotherapy LLC
• Marilyn Mai Ting

• Obstetrics & Gynecology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Obstetrics & Gynecology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.