Miguel Fonseca-Moreno
NPI 1417724402 · Physician Assistant · Anthem, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miguel Fonseca-Moreno is a Physician Assistant provider in Anthem, AZ (NPI 1417724402).
Provider details
- NPI number
- 1417724402
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10680 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
126 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 88 | $61 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 38 | $88 |
Typical Medicare-allowed amounts for these services range $61–$88 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-08
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Frequently asked questions
- What is Miguel Fonseca-Moreno's NPI number?
- Miguel Fonseca-Moreno's National Provider Identifier (NPI) is 1417724402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Miguel Fonseca-Moreno's specialty?
- Miguel Fonseca-Moreno is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Miguel Fonseca-Moreno located?
- Miguel Fonseca-Moreno's practice location on file with NPPES is 42104 N Venture Dr Ste D118, Anthem, AZ 85086-3837.
- What is Miguel Fonseca-Moreno's phone number?
- The practice phone number listed in the NPPES registry for Miguel Fonseca-Moreno is (623) 505-9880.
- Does Miguel Fonseca-Moreno accept Medicare?
- Miguel Fonseca-Moreno is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Miguel Fonseca-Moreno's NPI active?
- Yes — Miguel Fonseca-Moreno's NPI (1417724402) is active in the NPPES registry as of the last update on 2025-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.