MAYETTE BAYLON GONZALES NURSE PRACTITIONER
NPI 1154006310
Nurse Practitioner - Family in Riverside, CA

Active since June 15, 2023PECOS EnrolledAccepts Medicare Assignment
3988 MERRILL AVE, RIVERSIDE, CA 92506(909) 304-3344 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2026, Jun 15, 2023 (2 updates tracked since 2023).

About Mayette Baylon Gonzales Nurse Practitioner NPPES

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

MAYETTE BAYLON GONZALES NURSE PRACTITIONER (NPI 1154006310) is an individual family provider in Riverside, California, licensed in California (95025044) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Bernardino, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154006310
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAYETTE BAYLON GONZALESCredential: NURSE PRACTITIONER
Location Address3988 MERRILL AVERiverside, CA 92506-2214
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 15, 2023
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1154006310 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 · 95025044
3988 MERRILL AVE, Riverside, CA 92506

Secondary Practice Location 1

Location 11700 N Waterman AveSan Bernardino, CA 92404-5115 · Phone (909) 883-8611 · Fax (909) 881-5707

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

Mayette Baylon Gonzales Nurse Practitioner 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 ID2567934185
PECOS Enrollment IDI20260616000050
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 Mayette Gonzales reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
8110 MANGO AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 149 clinicians in this Medicare group
Family Medicine
2 WEST FERN AVENUE
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 635 clinicians in this Medicare group
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92506 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.

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 Mayette Gonzales's NPI number?

The NPI number for Mayette Gonzales is 1154006310. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Mayette Gonzales located?

Mayette Gonzales practices at 3988 Merrill Ave, Riverside, CA 92506. The listed phone number is (909) 304-3344.

What is Mayette Gonzales's specialty?

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

Is Mayette Gonzales enrolled in Medicare?

Yes. Mayette Gonzales 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 Mayette Gonzales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayette Gonzales reassigns Medicare benefits to 3 organizations: Pinnacle Medical Group, Inc (Fontana, CA), Beaver Medical Group P C (Redlands, CA) and Healthcare Partners Affiliates Medical Group (Tustin, 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 Mayette Gonzales'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 Mayette Gonzales was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.