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MAREYNAL BERNARDO BAUTISTA
NPI 1003679291
Nurse Practitioner - Family in Rowland Heights, CA

Active since February 01, 2024PECOS Enrolled
18019 CROSSHAVEN DR, ROWLAND HEIGHTS, CA 91748(626) 641-1805 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mareynal Bernardo Bautista NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAREYNAL BERNARDO BAUTISTA (NPI 1003679291) is an individual family provider in Rowland Heights, California, licensed in California (F01240217) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003679291
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAREYNAL BERNARDO BAUTISTA
Location Address18019 CROSSHAVEN DRRowland Heights, CA 91748-2546
Mailing Address18019 Crosshaven DrRowland Heights, CA 91748-2546
Phone(626) 641-1805
Sole ProprietorYes
Enumeration DateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1003679291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · F01240217
18019 CROSSHAVEN DR, Rowland Heights, CA 91748
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mareynal Bernardo Bautista is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mareynal Bautista reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Health Plan Of California, Inc.
4.5 mi
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
NPI 1386714772 (626) 388-2390
Molina Healthcare Of California
11 mi
Family Medicine
887 E SECOND ST
Pomona, CA 91766
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1932214228 (909) 620-7769

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91748 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mareynal Bautista's NPI number?

The NPI number for Mareynal Bautista is 1003679291. It was assigned to this individual provider in the NPPES registry on February 1, 2024.

Where is Mareynal Bautista located?

Mareynal Bautista practices at 18019 Crosshaven Dr, Rowland Heights, CA 91748. The listed phone number is (626) 641-1805.

What is Mareynal Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mareynal Bautista enrolled in Medicare?

Yes. Mareynal Bautista is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mareynal Bautista's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mareynal Bautista reassigns Medicare benefits to 2 organizations: Central Health Plan Of California, Inc. (Diamond Bar, CA) and Molina Healthcare Of California (Pomona, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mareynal Bautista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mareynal Bautista was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.