MOLLIE DEIDRE PEREZ
NPI 1255910659
Nurse Practitioner in Loma Linda, CA

Active since April 05, 2021PECOS EnrolledAccepts Medicare Assignment
11262 CAMPUS ST, LOMA LINDA, CA 92350(909) 558-1000 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mollie Deidre Perez NPPES

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

MOLLIE DEIDRE PEREZ (NPI 1255910659) is an individual nurse practitioner in Loma Linda, California, licensed in California (95034655) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255910659
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMOLLIE DEIDRE PEREZ
Location Address11262 CAMPUS STLoma Linda, CA 92350-1727
Mailing Address11262 Campus StLoma Linda, CA 92350-1727 · (909) 558-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 5, 2021
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
NPI 1255910659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95034655
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

11262 CAMPUS ST, Loma Linda, CA 92350

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

Mollie Deidre Perez 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 ID648772921
PECOS Enrollment IDI20250905002590
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 92350 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 20

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

Nurse Practitioner
11262 CAMPUS ST
LOMA LINDA, CA 92350
Pharmacist
11262 CAMPUS ST, SCHOOL OF PHARMACY
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
11262 CAMPUS ST
LOMA LINDA, CA 92350
Nurse Anesthetist, Certified Registered
11262 CAMPUS ST
LOMA LINDA, CA 92350

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 Mollie Perez's NPI number?

The NPI number for Mollie Perez is 1255910659. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Mollie Perez located?

Mollie Perez practices at 11262 Campus St, Loma Linda, CA 92350. The listed phone number is (909) 558-1000.

What is Mollie Perez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mollie Perez enrolled in Medicare?

Yes. Mollie Perez 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.

When was this NPI record last updated?

The NPPES record for Mollie Perez was last updated on February 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.