MAGEN COSTILLA
NPI 1023756194
Nurse Practitioner in Moreno Valley, CA

Q: What is Magen Costilla's NPI number?

The NPI number for Magen Costilla is 1023756194. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Q: What is Magen Costilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Magen Costilla was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 26, 2022PECOS EnrolledAccepts Medicare Assignment

26600 CACTUS AVE STE 300, MORENO VALLEY, CA 92555(951) 988-9500 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2026, May 26, 2022 (2 updates tracked since 2022).

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About Magen Costilla NPPES

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

MAGEN COSTILLA (NPI 1023756194) is an individual nurse practitioner in Moreno Valley, California, licensed in California (NP5017283) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023756194

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMAGEN COSTILLA

Location Address26600 CACTUS AVE STE 300Moreno Valley, CA 92555-3901

Mailing Address26600 Cactus AveMoreno Valley, CA 92555-3901 · (951) 988-9500

Phone(951) 988-9500

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 26, 2022

Last NPPES UpdateJune 2, 20262 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1023756194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP5017283

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

26600 CACTUS AVE STE 300, Moreno Valley, CA 92555

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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 and accepts Medicare assignment

Magen Costilla is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103295613

PECOS Enrollment IDI20221205002885

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

Medicare enrollment records show Magen Costilla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Riverside

Same address

Federally Qualified Health Center (FQHC)

26600 CACTUS AVE STE 300
Moreno Valley, CA 92555

Reassigned Medicare billing, California enrollment
336 clinicians in this Medicare group

NPI 1982243812 (951) 988-9500

Cep America - California

0.2 mi

Emergency Medicine

26520 CACTUS AVE
Moreno Valley, CA 92555

Reassigned Medicare billing, California enrollment
2,323 clinicians in this Medicare group

NPI 1215042338 (909) 486-5650

Vituity Physician Services PC

20 mi

Family Medicine

16888 BASELINE AVE
Fontana, CA 92336

Reassigned Medicare billing, California enrollment
80 clinicians in this Medicare group

NPI 1124884176 (855) 422-8029

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 92555 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTH NORTHCOTT DO

Student in an Organized Health Care Education/Training Program