KATHLEEN BERNICE MAHONY F.N.P
NPI 1023124294
Nurse Practitioner - Family in Riverside, CA
About Kathleen Bernice Mahony F.n.p NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN BERNICE MAHONY F.N.P (NPI 1023124294) is an individual family provider in Riverside, California, licensed in California (11410) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Artesia, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Bernice Mahony F.n.p is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kathleen Mahony reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Bernardino, CA 92408
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Irvine, CA 92604
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Irvine, CA 92604
- Reassigned Medicare billing, California enrollment
- 71 clinicians in this Medicare group
Artesia, CA 90701
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92508
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 Kathleen Mahony's NPI number?
The NPI number for Kathleen Mahony is 1023124294. It was assigned to this individual provider in the NPPES registry on August 21, 2006.
Where is Kathleen Mahony located?
Kathleen Mahony practices at 491 E Alessandro Blvd #9803, Riverside, CA 92508. The listed phone number is (951) 780-1835.
What is Kathleen Mahony's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathleen Mahony enrolled in Medicare?
Yes. Kathleen Mahony is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathleen Mahony's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Mahony reassigns Medicare benefits to 4 organizations: Goldencrest Primary Care (San Bernardino, CA), Minuteclinic Diagnostic Medical Group Of Orange County Inc (Irvine, CA), Minuteclinic Primary Care California (Irvine, CA) and Adoracion Reyes MD A Professional Medical Corporation (Artesia, 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 Kathleen Mahony'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 Kathleen Mahony was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Kathleen Bernice Mahony, F.N.P · NPI 1023124294
Family physician in Riverside, California. Individual provider, active in the CMS NPPES registry since August 21, 2006.
## Identity
- **NPI:** 1023124294 (Entity type: Individual)
- **Enumerated:** August 21, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11410 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 491 E ALESSANDRO BLVD, #9803, Riverside, CA 92508-6071
- **Phone:** (951) 780-1835 · **Fax:** (951) 780-2936
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Goldencrest Primary Care (NPI 1437025004, San Bernardino, CA); Minuteclinic Diagnostic Medical Group Of Orange County Inc (NPI 1104013879, Irvine, CA); Minuteclinic Primary Care California (NPI 1083421614, Irvine, CA); Adoracion Reyes MD A Professional Medical Corporation (NPI 1457196164, Artesia, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** August 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023124294) · Data from the CMS NPPES public registry.