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CLINT LEVIS NGASSEM
NPI 1043006711
Nurse Practitioner - Psychiatric/Mental Health in Riverside, CA

Active since April 17, 2025PECOS EnrolledAccepts Medicare Assignment
11162 PALM TERRACE LN, RIVERSIDE, CA 92505(951) 687-7330 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clint Levis Ngassem NPPES

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

CLINT LEVIS NGASSEM (NPI 1043006711) is an individual psychiatric/mental health provider in Riverside, California, licensed in California (95034752) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043006711
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCLINT LEVIS NGASSEM
Location Address11162 PALM TERRACE LNRiverside, CA 92505-2338
Mailing Address1699 E Washington St Apt 2174Colton, CA 92324-4699 · (909) 780-5399
Phone(951) 687-7330
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1043006711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95034752
11162 PALM TERRACE LN, Riverside, CA 92505
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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

Clint Levis Ngassem 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 ID8729561055
PECOS Enrollment IDI20260313002923
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 Clint Ngassem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jason Kellogg M.D. Inc
32 mi
Psychiatry
123 TURQUOISE AVE
Newport Beach, CA 92662
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Jason Kellogg MD Inc
  • 25 clinicians in this Medicare group
NPI 1235391624 (949) 340-2111
Healing Solutions Family Therapy Center Inc.
64 mi
Mental Health (Including Community Mental Health Center)
815 W LANCASTER BLVD STE 115
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Real Road Inc
  • 26 clinicians in this Medicare group
NPI 1134688674 (661) 903-8822

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 92505 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 3

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

P.T.C.H., INC.
Skilled Nursing Facility
11162 PALM TERRACE LN
RIVERSIDE, CA 92505
Riverside County (951) 687-7330
TARAL PATEL MD INC
Internal Medicine
11162 PALM TERRACE LN
RIVERSIDE, CA 92505
Riverside County (951) 687-7330
GOLDENSTAR HEALTHCARE, INC.
Skilled Nursing Facility
11162 PALM TERRACE LN
RIVERSIDE, CA 92505
Riverside County (951) 687-7330

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 Clint Ngassem's NPI number?

The NPI number for Clint Ngassem is 1043006711. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Clint Ngassem located?

Clint Ngassem practices at 11162 Palm Terrace Ln, Riverside, CA 92505. The listed phone number is (951) 687-7330.

What is Clint Ngassem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Clint Ngassem enrolled in Medicare?

Yes. Clint Ngassem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Clint Ngassem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clint Ngassem reassigns Medicare benefits to 2 organizations: Jason Kellogg M.D. Inc (Newport Beach, CA) and Healing Solutions Family Therapy Center Inc. (Lancaster, 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 Clint Ngassem'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 Clint Ngassem was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.