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JOSE REVELES SALCEDO PMHNP
NPI 1053299594
Nurse Practitioner - Psychiatric/Mental Health in Victorville, CA

Active since August 22, 2025PECOS Enrolled
16888 NISQUALLI RD STE 200-4, VICTORVILLE, CA 92395(909) 921-8953 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jose Reveles Salcedo Pmhnp NPPES

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

JOSE REVELES SALCEDO PMHNP (NPI 1053299594) is an individual psychiatric/mental health provider in Victorville, California, licensed in California (95036807) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053299594
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOSE REVELES SALCEDOCredential: PMHNP
Location Address16888 NISQUALLI RD STE 200-4Victorville, CA 92395-9703
Mailing Address16888 Nisqualli Rd Ste 200-4Victorville, CA 92395-9703 · (760) 502-8020 · Fax (760) 841-4208
Phone(909) 921-8953
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 22, 2025
Last NPPES UpdateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1053299594 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 · 95036807
16888 NISQUALLI RD STE 200-4, Victorville, CA 92395
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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)

Jose Reveles Salcedo Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325512429
PECOS Enrollment IDI20260630001782
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 Reassignment

Medicare enrollment records show Jose Salcedo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clarity Nursing, PC
Same address
Psychiatric/Mental Health
16888 NISQUALLI RD STE 200-4
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment
NPI 1558232611 (909) 921-8953

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 92395 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

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

CLARITY NURSING, PC
Nurse Practitioner (Psychiatric/Mental Health)
16888 NISQUALLI RD STE 200-4
VICTORVILLE, CA 92395
San Bernardino County (909) 921-8953

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 Jose Salcedo's NPI number?

The NPI number for Jose Salcedo is 1053299594. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Jose Salcedo located?

Jose Salcedo practices at 16888 Nisqualli Rd Ste 200-4, Victorville, CA 92395. The listed phone number is (909) 921-8953.

What is Jose Salcedo's specialty?

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

Is Jose Salcedo enrolled in Medicare?

Yes. Jose Salcedo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Salcedo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Salcedo reassigns Medicare benefits to Clarity Nursing, PC (Victorville, 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 Jose Salcedo'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 Jose Salcedo was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.