MRS. EVANGELINE BAQUIRAN PELAEZ ANP-BC
NPI 1063684546
Nurse Practitioner - Adult Health in West Covina, CA

Active since March 25, 2008PECOS EnrolledAccepts Medicare Assignment
100 N BARRANCA ST STE 900, WEST COVINA, CA 91791(626) 206-0523(626) 206-0553 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Evangeline Baquiran Pelaez Anp-bc NPPES

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

MRS. EVANGELINE BAQUIRAN PELAEZ ANP-BC (NPI 1063684546) is an individual adult health provider in West Covina, California, licensed in California (560404) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1063684546
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. EVANGELINE BAQUIRAN PELAEZCredential: ANP-BC
Location Address100 N BARRANCA ST STE 900West Covina, CA 91791-1662
Mailing Address3816 Los Olivos LnLa Crescenta, CA 91214-1626 · (818) 929-4066
Fax(626) 206-0553
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 25, 2008
Last NPPES UpdateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1063684546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 560404
100 N BARRANCA ST STE 900, West Covina, CA 91791

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

Mrs. Evangeline Baquiran Pelaez Anp-bc 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 ID4385099555
PECOS Enrollment IDI20231006003191
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

3

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

Primary Care
100 N BARRANCA ST # 900-J
West Covina, CA 91791
  • Reassigned Medicare billing, California enrollment
  • 25 clinicians in this Medicare group
Family
10570 FOOTHILL BLVD STE 210
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
Family
10570 FOOTHILL BLVD STE 220
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
  • 10 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 8

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
1,967 services1,394 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,451 services1,000 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
785 services734 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
488 services488 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
370 services370 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
166 services166 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91791 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

Nurse Practitioner
100 N BARRANCA ST STE 900
WEST COVINA, CA 91791
Nurse Practitioner (Psychiatric/Mental Health)
100 N BARRANCA ST STE 900
WEST COVINA, CA 91791

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 Evangeline Pelaez's NPI number?

The NPI number for Evangeline Pelaez is 1063684546. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Evangeline Pelaez located?

Evangeline Pelaez practices at 100 N Barranca St Ste 900, West Covina, CA 91791. The listed phone number is (626) 206-0523.

What is Evangeline Pelaez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Evangeline Pelaez enrolled in Medicare?

Yes. Evangeline Pelaez 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 Evangeline Pelaez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evangeline Pelaez reassigns Medicare benefits to 3 organizations: Home Care MD Medical Group (West Covina, CA), Advanced Practitioner Medical Group - A Professional Nursing Corp (Rancho Cucamonga, CA) and Tiamson Inc (Rancho Cucamonga, 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 Evangeline Pelaez'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 Evangeline Pelaez was last updated on August 22, 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.