TANISHA RENEE RAGLAND R.N.
NPI 1154679462
Nurse Practitioner - Psychiatric/Mental Health in San Pedro, CA

Active since August 16, 2012PECOS EnrolledAccepts Medicare Assignment
2830 S KERCKHOFF AVE, SAN PEDRO, CA 90731(585) 721-5686 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanisha Renee Ragland R.n. NPPES

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

TANISHA RENEE RAGLAND R.N. (NPI 1154679462) is an individual psychiatric/mental health provider in San Pedro, California, licensed in California (95017916) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154679462
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTANISHA RENEE RAGLANDCredential: R.N.
Location Address2830 S KERCKHOFF AVESan Pedro, CA 90731-6626
Mailing Address2830 S Kerckhoff AveSan Pedro, CA 90731-6626 · (585) 721-5686
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 16, 2012
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
NPI 1154679462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95017916
Also ListedRegistered NurseTaxonomy 163W00000X · License 655565 (NY)
2830 S KERCKHOFF AVE, San Pedro, CA 90731

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tanisha Renee Ragland R.n. 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 ID9638548076
PECOS Enrollment IDI20250725001067
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90731 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

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

Nurse Practitioner (Psychiatric/Mental Health)
2830 S KERCKHOFF AVE
SAN PEDRO, CA 90731

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 Tanisha Ragland's NPI number?

The NPI number for Tanisha Ragland is 1154679462. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Tanisha Ragland located?

Tanisha Ragland practices at 2830 S Kerckhoff Ave, San Pedro, CA 90731. The listed phone number is (585) 721-5686.

What is Tanisha Ragland's specialty?

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

Is Tanisha Ragland enrolled in Medicare?

Yes. Tanisha Ragland 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.

What insurance does Tanisha Ragland accept?

Health plans from Providence Health Plan list Tanisha Ragland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanisha Ragland was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.