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

Active since August 16, 2012PECOS Enrolled
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: October 25, 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.

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
Phone(585) 721-5686
Sole ProprietorYes
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
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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)

Tanisha Renee Ragland R.n. 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 Reassignments

3

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

Ehab Yacoub MD Inc.
9.7 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113
Grow Healthcare Group PC
321 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Grow Healthcare Group PA
2,340 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 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.

BLEUX ONYX HEALTH & WELLNESS A PROFESSIONAL NURSING CORPORATION
Nurse Practitioner (Psychiatric/Mental Health)
2830 S KERCKHOFF AVE
SAN PEDRO, CA 90731
Los Angeles County (949) 436-5536

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 enrollment system.

Which organizations bill Medicare for Tanisha Ragland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanisha Ragland reassigns Medicare benefits to 3 organizations: Ehab Yacoub MD Inc. (Gardena, CA), Grow Healthcare Group PC (San Jose, CA) and Grow Healthcare Group PA (Miami, FL). 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 Tanisha Ragland'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 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.