HILDA LICON
NPI 1356883466
Nurse Anesthetist, Certified Registered in Loma Linda, CA
About Hilda Licon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HILDA LICON (NPI 1356883466) is an individual nurse anesthetist, certified registered in Loma Linda, California, licensed in California (95001895) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Hilda Licon 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.
Medicare Billing Reassignments
6Medicare enrollment records show Hilda Licon reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Rancho Cucamonga, CA 91730
- Reassigned Medicare billing, California enrollment
- 66 clinicians in this Medicare group
Glendora, CA 91740
- Reassigned Medicare billing, California enrollment
- 43 clinicians in this Medicare group
Irvine, CA 92618
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
El Paso, TX 79912
- Reassigned Medicare billing, Texas enrollment
- 409 clinicians in this Medicare group
Crescent City, CA 95531
- Reassigned Medicare billing, California enrollment
- 134 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Hilda Licon's NPI number?
The NPI number for Hilda Licon is 1356883466. It was assigned to this individual provider in the NPPES registry on November 7, 2016.
Where is Hilda Licon located?
Hilda Licon practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-8173.
What is Hilda Licon's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Hilda Licon enrolled in Medicare?
Yes. Hilda Licon 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 Hilda Licon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hilda Licon reassigns Medicare benefits to 6 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA), Lgibson Anesthesia Inc (Rancho Cucamonga, CA), Glendora Anesthesia Associates LP (Glendora, CA), Horieh Anesthesia Services (Irvine, CA), El Paso County Hospital District (El Paso, TX) and 1 more organization, listed in the Medicare section above. 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 Hilda Licon'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 Hilda Licon was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Hilda Licon · NPI 1356883466
Nurse Anesthetist, Certified Registered physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since November 7, 2016.
## Identity
- **NPI:** 1356883466 (Entity type: Individual)
- **Enumerated:** November 7, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95001895 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-8173
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1245605781, Loma Linda, CA); Lgibson Anesthesia Inc (NPI 1417473323, Rancho Cucamonga, CA); Glendora Anesthesia Associates LP (NPI 1750748331, Glendora, CA); Horieh Anesthesia Services (NPI 1346953007, Irvine, CA); El Paso County Hospital District (NPI 1487547295, El Paso, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356883466) · Data from the CMS NPPES public registry.