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

Q: 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.

Q: What is Edward Sianipar's specialty?

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

Q: 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 21 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.

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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)