MELISSA LINDA BAUTISTA LPCC
NPI 1053037515
Counselor - Professional in Beaumont, CA
About Melissa Linda Bautista Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA LINDA BAUTISTA LPCC (NPI 1053037515) is an individual professional provider in Beaumont, California, licensed in California (8904) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Melissa Linda Bautista Lpcc 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.
Medicare Billing Reassignment
Medicare enrollment records show Melissa Bautista reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 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.
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 Melissa Bautista's NPI number?
The NPI number for Melissa Bautista is 1053037515. It was assigned to this individual provider in the NPPES registry on October 17, 2022.
Where is Melissa Bautista located?
Melissa Bautista practices at 305 W 4th St, Beaumont, CA 92223. The listed phone number is (951) 878-5199.
What is Melissa Bautista's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Melissa Bautista enrolled in Medicare?
Yes. Melissa Bautista 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 organization bills Medicare for Melissa Bautista's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Bautista reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The 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 Melissa Bautista's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melissa Bautista accept?
Health plans from Blue Cross and Blue Shield of Texas list Melissa Bautista as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Melissa Bautista was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Melissa Linda Bautista, LPCC · NPI 1053037515
Professional provider in Beaumont, California. Individual provider, active in the CMS NPPES registry since October 17, 2022.
## Identity
- **NPI:** 1053037515 (Entity type: Individual)
- **Enumerated:** October 17, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 8904 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 305 W 4TH ST, Beaumont, CA 92223-2611
- **Phone:** (951) 878-5199
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 1, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1053037515) · Data from the CMS NPPES public registry.