TANYA TANZILLO (CNP) – Family Nurse Practitioner, NPI 1114032802

TANYA TANZILLO (CNP) is a healthcare provider. based in Mchenry, Illinois. specializing in Family Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. 209005985 (IL). The NPI Number for TANYA TANZILLO (CNP) is 1114032802

Main info

Female
21 Years Of Experience
Name
TANYA TANZILLO (CNP)
NPI
1114032802
Phone
(815) 338-6600
Address
2507 N RICHMOND RD
Enumeration Date
20 August 2006
Last Update Date
22 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472361701
Graduation Year
2005 (21 years ago)
PAC ID
4587759410
Group Practice PAC ID
4587694047
Professional Enrollment ID
I20071005000823
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for TANYA TANZILLO (CNP)

  • Richmond Road, McHenry, McHenry County, Illinois, 60072, United States

    MCHENRY, IL 60051

    Phone: (815) 338-6600

    Fax: (815) 759-4078

    Type: Location

  • 10350 Haligus Rd Ste 220

    Huntley, IL 601429585

    Phone: (815) 338-6600

    Fax: (847) 802-7231

    Type: Location

  • 360 Station Drive

    3rd Floor

    Crystal Lake, IL 60014

    Phone: (815) 338-6600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: ABBVIE INC. ($24).

Total Amount

$58

General + Research + Ownership

Payments

3

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-10-05

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
I20071005000823INurse PractitionerILTBD

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 60051)

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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: 4587694047View full group profile

Reviews

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Frequently asked questions

How do I look up TANYA TANZILLO (CNP) by NPI?
Use NPI 1114032802 when you need to reference TANYA TANZILLO (CNP) in forms, claims, or directories.
Is TANYA TANZILLO (CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does TANYA TANZILLO (CNP) treat or focus on?
Patients typically see TANYA TANZILLO (CNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for TANYA TANZILLO (CNP)?
We surface Mchenry, Illinois for TANYA TANZILLO (CNP) based on available NPPES addresses.
What if Mchenry, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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