Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISSION PREMIER HEALTH
NPI 1073323887
Nurse Practitioner - Family in Redlands, CA

Active since January 13, 2025
1201 BROOKSIDE AVE, REDLANDS, CA 92373(909) 255-4822(909) 686-8674 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mission Premier Health NPPES

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

MISSION PREMIER HEALTH (NPI 1073323887) is a healthcare organization registered as a family in Redlands, California and active in the NPI registry since January 2025. The organization lists Anita Adorador, Secretary, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073323887
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMISSION PREMIER HEALTH
Location Address1201 BROOKSIDE AVERedlands, CA 92373-4402
Mailing Address1201 Brookside AveRedlands, CA 92373-4402 · (909) 255-4822 · Fax (909) 686-8674
Fax(909) 686-8674
Organization SubpartNo
Authorized OfficialAnita AdoradorSecretary, Cfo · (909) 754-6868
Enumeration DateJanuary 13, 2025
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1073323887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1201 BROOKSIDE AVE, Redlands, CA 92373

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mission Premier Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mission Premier Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1780654624
1201 BROOKSIDE AVE
Redlands, CA 92373
(909) 255-4822
✔ PECOSSame address
Nurse Practitioner
NPI 1750628681
11234 ANDERSON ST RM 6700H
Loma Linda, CA 92354
(909) 558-8514
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1326740952
601 W COUNTY LINE RD STE B
Calimesa, CA 92320
(909) 228-0379
✔ PECOS✔ Accepts Medicare8.5 mi

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 Mission Premier Health's NPI number?

The NPI number for Mission Premier Health is 1073323887. It was assigned to this organization in the NPPES registry on January 13, 2025.

Where is Mission Premier Health located?

Mission Premier Health is located at 1201 Brookside Ave, Redlands, CA 92373. The listed phone number is (909) 255-4822.

What is Mission Premier Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mission Premier Health enrolled in Medicare?

Yes. Mission Premier Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mission Premier Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mission Premier Health. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mission Premier Health was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.