Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tabitha L. Fitzgerald

Individual provider Family Nurse Practitioner · NPI 1508116047

Tabitha L. Fitzgerald is a Nurse Practitioner in Yucca Valley, California. Qualified in 2024, 2 years ago. Practices with Acute Care Surgery Medical Group Inc, a 202-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2012
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Practice location Address checks out

55887 Yucca Trl
Yucca Valley, CA 92284-2546
Phone: (760) 365-0804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95031579 (CA)

Record details

NPI number1508116047
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2012
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address55887 Yucca Trl, Yucca Valley, CA 92284-2546

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Acute Care Surgery Medical Group Inc — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Yucca Valley