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BRANKA VIDIC
NPI 1164112942
Nurse Practitioner - Family in La Quinta, CA

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment
47110 WASHINGTON ST STE 203, LA QUINTA, CA 92253(760) 564-9205 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 12, 2025, May 15, 2023 (2 updates tracked since 2023).

About Branka Vidic NPPES

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

BRANKA VIDIC (NPI 1164112942) is an individual family provider in La Quinta, California, licensed in California (95025028) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164112942
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRANKA VIDIC
Location Address47110 WASHINGTON ST STE 203La Quinta, CA 92253-2186
Mailing AddressPo Box 7278La Quinta, CA 92248-7278 · (760) 564-9205
Phone(760) 564-9205
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 15, 2023
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1164112942 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 · 95025028
47110 WASHINGTON ST STE 203, La Quinta, CA 92253
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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 and accepts Medicare assignment

Branka Vidic 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 ID42666596
PECOS Enrollment IDI20231019002883
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 Branka Vidic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Riverside
1.9 mi
Community/Behavioral Health
78140 CALLE TAMPICO
La Quinta, CA 92253
  • Reassigned Medicare billing, California enrollment
  • 336 clinicians in this Medicare group
NPI 1255880456 (951) 358-5558

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 92253 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.

Other Providers at the Same Location NPPES 5

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

EDWARD A. RUIZ MD, PROFESSIONAL CORPORATION
Clinic/Center
47110 WASHINGTON ST STE 203
LA QUINTA, CA 92253
Riverside County (760) 564-9205
ADELA A ALVAREZ-SOTELO
Community Health Worker
47110 WASHINGTON ST STE 203
LA QUINTA, CA 92253
Riverside County (760) 564-9205
ERICA M RUIZ MD PROFESSIONAL
Family Medicine
47110 WASHINGTON ST STE 203
LA QUINTA, CA 92253
Riverside County (760) 564-9205
MARC DAVID DOBSON P A
Physician Assistant
47110 WASHINGTON ST STE 203
LA QUINTA, CA 92253
Riverside County (760) 564-9205
JEANNE M PERAFAN NP
Nurse Practitioner (Family)
47110 WASHINGTON ST STE 203
LA QUINTA, CA 92253
Riverside County (760) 564-9205

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 Branka Vidic's NPI number?

The NPI number for Branka Vidic is 1164112942. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Branka Vidic located?

Branka Vidic practices at 47110 Washington St Ste 203, La Quinta, CA 92253. The listed phone number is (760) 564-9205.

What is Branka Vidic's specialty?

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

Is Branka Vidic enrolled in Medicare?

Yes. Branka Vidic 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 organization bills Medicare for Branka Vidic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Branka Vidic reassigns Medicare benefits to County Of Riverside (La Quinta, 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 Branka Vidic'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 Branka Vidic was last updated on February 12, 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.