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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. NICOLLETTE SOKOEUN BUTH DNP, AGACNP-BC
NPI 1184237372
Nurse Practitioner - Acute Care in Long Beach, CA

Active since August 26, 2020PECOS Enrolled
76.74/100
CMS Quality Rating
701 E 28TH ST STE 202, LONG BEACH, CA 90806(877) 430-7337(714) 445-0245 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Nov 23, 2022, Aug 26, 2020 (3 updates tracked since 2020).

About Ms. Nicollette Sokoeun Buth Dnp, Agacnp-bc NPPES

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

MS. NICOLLETTE SOKOEUN BUTH DNP, AGACNP-BC (NPI 1184237372) is an individual acute care provider in Long Beach, California, licensed in California (95015167) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184237372
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. NICOLLETTE SOKOEUN BUTHCredential: DNP, AGACNP-BC
Location Address701 E 28TH ST STE 202Long Beach, CA 90806-2773
Mailing Address35 Creek RdIrvine, CA 92604-4724 · (714) 445-0220 · Fax (714) 445-0245
Phone(877) 430-7337
Fax(714) 445-0245
Sole ProprietorNo
Enumeration DateAugust 26, 2020
Last NPPES UpdateOctober 16, 20263 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1184237372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95015167
701 E 28TH ST STE 202, Long Beach, CA 90806
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nicollette Sokoeun Buth Dnp, Agacnp-bc 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

2

Medicare enrollment records show Nicollette Buth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorialcare Medical Foundation
15 mi
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622
Pacific Cardiovascular Associates Medical Group, Inc.
24 mi
Cardiovascular Disease
35 CREEK RD
Irvine, CA 92604
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1700821691 (714) 445-0220

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 90806 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

Other Providers at the Same Location NPPES

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

DR. DENISE LEE CASSIDENTI M.D.
Specialist
701 E 28TH ST STE 202
LONG BEACH, CA 90806
Los Angeles County (562) 427-2229

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 Nicollette Buth's NPI number?

The NPI number for Nicollette Buth is 1184237372. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Nicollette Buth located?

Nicollette Buth practices at 701 E 28th St Ste 202, Long Beach, CA 90806. The listed phone number is (877) 430-7337.

What is Nicollette Buth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicollette Buth enrolled in Medicare?

Yes. Nicollette Buth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicollette Buth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicollette Buth reassigns Medicare benefits to 2 organizations: Memorialcare Medical Foundation (Fountain Valley, CA) and Pacific Cardiovascular Associates Medical Group, Inc. (Irvine, 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 Nicollette Buth'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 Nicollette Buth was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.