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NANCY CISNEROS FNP
NPI 1104414598
Nurse Practitioner - Family in Riverbank, CA

Active since January 02, 2021PECOS Enrolled
2230 CHERRY TREE LN, RIVERBANK, CA 95367(209) 380-4242 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2025, Jan 2, 2021 (2 updates tracked since 2021).

About Nancy Cisneros Fnp NPPES

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

NANCY CISNEROS FNP (NPI 1104414598) is an individual family provider in Riverbank, California, licensed in California (95016313) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104414598
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNANCY CISNEROSCredential: FNP
Location Address2230 CHERRY TREE LNRiverbank, CA 95367-2105
Mailing Address2230 Cherry Tree LnRiverbank, CA 95367-2105 · (209) 380-4242
Phone(209) 380-4242
Sole ProprietorNo
Enumeration DateJanuary 2, 2021
Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1104414598 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
License✔ Licensed in CA · 95016313
2230 CHERRY TREE LN, Riverbank, CA 95367
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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)

Nancy Cisneros Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nancy Cisneros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Golden Valley Health Center
2.0 mi
Federally Qualified Health Center (FQHC)
4150 PATTERSON RD
Riverbank, CA 95367
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1548568421 (209) 863-3990

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 95367 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims21 services$4.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims11 services$0.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nancy Cisneros's NPI number?

The NPI number for Nancy Cisneros is 1104414598. It was assigned to this individual provider in the NPPES registry on January 2, 2021.

Where is Nancy Cisneros located?

Nancy Cisneros practices at 2230 Cherry Tree Ln, Riverbank, CA 95367. The listed phone number is (209) 380-4242.

What is Nancy Cisneros's specialty?

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

Is Nancy Cisneros enrolled in Medicare?

Yes. Nancy Cisneros is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nancy Cisneros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Cisneros reassigns Medicare benefits to Golden Valley Health Center (Riverbank, 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 Nancy Cisneros'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 Nancy Cisneros was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.