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VITALIS EGWIM
NPI 1265068878
Nurse Practitioner in Colton, CA

Active since March 14, 2020PECOS EnrolledAccepts Medicare Assignment
1699 E WASHINGTON ST APT 2246, COLTON, CA 92324(443) 742-8019 Get Directions Write a Review

NPPES record last updated: March 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vitalis Egwim NPPES

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

VITALIS EGWIM (NPI 1265068878) is an individual nurse practitioner in Colton, California, licensed in California (95014012) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265068878
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameVITALIS EGWIM
Location Address1699 E WASHINGTON ST APT 2246Colton, CA 92324-6460
Mailing Address1699 E Washington St Apt 2246Colton, CA 92324-6460 · (443) 742-8019
Phone(443) 742-8019
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 14, 2020
NPPES CertifiedMarch 14, 2020
✔ NPI 1265068878 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 · 95014012
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.
1699 E WASHINGTON ST APT 2246, Colton, CA 92324
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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

Vitalis Egwim 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 ID5698147767
PECOS Enrollment IDI20230220000078
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 92324 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.

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 Vitalis Egwim's NPI number?

The NPI number for Vitalis Egwim is 1265068878. It was assigned to this individual provider in the NPPES registry on March 14, 2020.

Where is Vitalis Egwim located?

Vitalis Egwim practices at 1699 E Washington St Apt 2246, Colton, CA 92324. The listed phone number is (443) 742-8019.

What is Vitalis Egwim's specialty?

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

Is Vitalis Egwim enrolled in Medicare?

Yes. Vitalis Egwim 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 Vitalis Egwim was last updated on March 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.