MR. RICO LIWANAGAN CRNA, MSN
NPI 1295287787
Nurse Anesthetist, Certified Registered in Baltimore, MD

Active since October 31, 2016Accepts Medicare Assignment
4940 EASTERN AVE RM 588, BALTIMORE, MD 21224(410) 550-0942 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2020, Oct 31, 2016 (2 updates tracked since 2016).

About Mr. Rico Liwanagan Crna, Msn NPPES

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

MR. RICO LIWANAGAN CRNA, MSN (NPI 1295287787) is an individual nurse anesthetist, certified registered in Baltimore, Maryland, licensed in Maryland (R160556) and active in the NPI registry since October 2016. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1295287787
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. RICO LIWANAGANCredential: CRNA, MSN
Location Address4940 EASTERN AVE RM 588Baltimore, MD 21224-2735
Mailing Address3460 E La Palma AveAnaheim, CA 92806-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 31, 2016
Last NPPES UpdateJune 2, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
✔ NPI 1295287787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MD · R160556
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
4940 EASTERN AVE RM 588, Baltimore, MD 21224

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. Rico Liwanagan Crna, Msn 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 ID8022393263
PECOS Enrollment IDI20211202002594

Medicare Billing Reassignments

5

Medicare enrollment records show Rico Liwanagan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
5501 HOPKINS BAYVIEW CIR, ROOM 1A20
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
Anesthesiology
9841 BROKEN LAND PKWY STE 310
Columbia, MD 21046
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 717 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
488 E VALLEY PKWY STE 110
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
9850 GENESEE AVE, SUITE 980
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 27 clinicians in this Medicare group

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 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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 9

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

Nurse Anesthetist, Certified Registered
4940 EASTERN AVE RM 588
BALTIMORE, MD 21224
Nurse Anesthetist, Certified Registered
4940 EASTERN AVE RM 588
BALTIMORE, MD 21224
Anesthesiology (Pain Medicine)
4940 EASTERN AVE RM 588
BALTIMORE, MD 21224
Anesthesiology
4940 EASTERN AVE RM 588
BALTIMORE, MD 21224
Anesthesiology (Critical Care Medicine)
4940 EASTERN AVE RM 588
BALTIMORE, MD 21224
Nurse Anesthetist, Certified Registered
4940 EASTERN AVE RM 588
BALTIMORE, MD 21224
Nurse Anesthetist, Certified Registered
4940 EASTERN AVE RM 588
BALTIMORE, MD 21224
Anesthesiology
4940 EASTERN AVE RM 588
BALTIMORE, MD 21224

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 Rico Liwanagan's NPI number?

The NPI number for Rico Liwanagan is 1295287787. It was assigned to this individual provider in the NPPES registry on October 31, 2016.

Where is Rico Liwanagan located?

Rico Liwanagan practices at 4940 Eastern Ave Rm 588, Baltimore, MD 21224. The listed phone number is (410) 550-0942.

What is Rico Liwanagan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Rico Liwanagan enrolled in Medicare?

Yes. Rico Liwanagan 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 organizations bill Medicare for Rico Liwanagan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rico Liwanagan reassigns Medicare benefits to 5 organizations: Johns Hopkins University (Baltimore, MD), First Colonies Anesthesia Associates, LLC (Columbia, MD), Escondido Anesthesia Associates LP (Escondido, CA), Southern California Permanente Medical Group (San Diego, CA) and La Jolla Anesthesia Associates LP (La Jolla, 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 Rico Liwanagan'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 Rico Liwanagan was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.