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MR. EDWARD N. SIANIPAR N.P.
NPI 1225305618
Nurse Practitioner - Adult Health in Apple Valley, CA

Active since November 29, 2011PECOS EnrolledAccepts Medicare Assignment
19059 BEAR VALLEY RD, #1, APPLE VALLEY, CA 92308(760) 515-5000(760) 240-3848 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Edward N. Sianipar N.p. NPPES

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

MR. EDWARD N. SIANIPAR N.P. (NPI 1225305618) is an individual adult health provider in Apple Valley, California, licensed in California (NP21409) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1225305618
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. EDWARD N. SIANIPARCredential: N.P.
Location Address19059 BEAR VALLEY RD, #1Apple Valley, CA 92308-2716
Mailing Address19059 Bear Valley Rd, #1Apple Valley, CA 92308-2716 · (760) 515-5000 · Fax (760) 240-3848
Phone(760) 515-5000
Fax(760) 240-3848
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 29, 2011
Last NPPES UpdateOctober 25, 2024
✔ NPI 1225305618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in CA · NP21409✔ Licensed in CA · 21409
19059 BEAR VALLEY RD, Apple Valley, CA 92308
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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

Mr. Edward N. Sianipar N.p. 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 ID1658660659
PECOS Enrollment IDI20250319001731
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 Edward Sianipar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
25 mi
Health Maintenance Organization
15272 SUMMIT AVE
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1316463763 (877) 608-0044

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 92308 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 6

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

MRS. MAURITHA ALLEN-LEHEW FNP
Nurse Practitioner (Family)
19059 BEAR VALLEY RD
APPLE VALLEY, CA 92308
San Bernardino County (760) 515-5000
KELLY LEA LYONS N.P.
Nurse Practitioner
19059 BEAR VALLEY RD
APPLE VALLEY, CA 92308
San Bernardino County (760) 515-5000
DENISE E HOLMES
Social Worker (Clinical)
19059 BEAR VALLEY RD
APPLE VALLEY, CA 92308
San Bernardino County (760) 515-5031
MAYRENI LEON NP-C
Nurse Practitioner (Family)
19059 BEAR VALLEY RD
APPLE VALLEY, CA 92308
San Bernardino County (760) 515-5000
ASHLEY D'ANTONIO MSN, FNP-BC
Nurse Practitioner (Family)
19059 BEAR VALLEY RD
APPLE VALLEY, CA 92308
San Bernardino County (760) 515-5000
MICHAEL PAALANI RD
Dietitian, Registered
19059 BEAR VALLEY RD
APPLE VALLEY, CA 92308
San Bernardino County (760) 240-6235

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 Edward Sianipar's NPI number?

The NPI number for Edward Sianipar is 1225305618. It was assigned to this individual provider in the NPPES registry on November 29, 2011.

Where is Edward Sianipar located?

Edward Sianipar practices at 19059 Bear Valley Rd #1, Apple Valley, CA 92308. The listed phone number is (760) 515-5000.

What is Edward Sianipar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Edward Sianipar enrolled in Medicare?

Yes. Edward Sianipar 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 Edward Sianipar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Sianipar reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Edward Sianipar'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 Edward Sianipar was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.