FABIOLA TYSON (FNP-C) – Family Nurse Practitioner, NPI 1518600360

FABIOLA TYSON (FNP-C) is a healthcare provider. based in El centro, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 95020675 (CA). The NPI Number for FABIOLA TYSON (FNP-C) is 1518600360

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
FABIOLA TYSON (FNP-C)
NPI
1518600360
Phone
(760) 790-7665
Address
2010 CHAPARRAL DR
Enumeration Date
19 April 2022
Last Update Date
19 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7605924351
Graduation Year
2022 (4 years ago)
PAC ID
0042694580
Group Practice PAC ID
3072870112
Professional Enrollment ID
I20220831003250
Address ID
CA922312875CA400XXAVEX300

Contacts

Main Contact
ECW
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

Provider Addresses for FABIOLA TYSON (FNP-C)

  • 2010 CHAPARRAL DR

    EL CENTRO, CA 922436115

    Phone: (760) 790-7665

    Type: Mailing

  • 2026 N IMPERIAL AVE STE C

    EL CENTRO, CA 922431607

    Phone: (760) 592-4351

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Novo Nordisk Inc ($105).

Total Amount

$105

General + Research + Ownership

Payments

1

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$105
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220831003250INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92243)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072870112View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Family PracticeCA
Internal MedicineCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Family PracticeTN

Reviews

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Frequently asked questions

What federal number belongs to FABIOLA TYSON (FNP-C)?
The federal identifier for FABIOLA TYSON (FNP-C) is NPI 1518600360.
Is FABIOLA TYSON (FNP-C) active in the national directory?
FABIOLA TYSON (FNP-C)'s public NPI profile is in an active state.
What kind of provider is FABIOLA TYSON (FNP-C)?
The page reflects Family Nurse Practitioner for FABIOLA TYSON (FNP-C). Clinical services aligned with this taxonomy classification.
What location shows for FABIOLA TYSON (FNP-C)?
We surface El Centro, California for FABIOLA TYSON (FNP-C) based on available NPPES addresses.
What if El Centro, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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