MR. DEWAYNE LEE CECIL AGACNP
NPI 1366061285
Nurse Practitioner in Albany, CA

Active since April 10, 2020PECOS Enrolled
1080 MONROE AVE, SUITE 120, ALBANY, CA 94706(510) 439-9496 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2025, Aug 1, 2022, Jul 7, 2021 and 3 more (6 updates tracked since 2020).

About Mr. Dewayne Lee Cecil Agacnp NPPES

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

MR. DEWAYNE LEE CECIL AGACNP (NPI 1366061285) is an individual nurse practitioner in Albany, California, licensed in California (95015622) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366061285
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. DEWAYNE LEE CECILCredential: AGACNP
Location Address1080 MONROE AVE, SUITE 120Albany, CA 94706
Mailing Address1158 Francisco StBerkeley, CA 94702-1333 · (901) 440-7713
Sole ProprietorYes
Enumeration DateApril 10, 2020
Last NPPES UpdateFebruary 3, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1366061285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95015622
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 95015622 (CA)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 95015622 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95015622 (CA)
1080 MONROE AVE, Albany, CA 94706

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Dewayne Lee Cecil Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94706 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 Dewayne Cecil's NPI number?

The NPI number for Dewayne Cecil is 1366061285. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Dewayne Cecil located?

Dewayne Cecil practices at 1080 Monroe Ave Suite 120, Albany, CA 94706. The listed phone number is (510) 439-9496.

What is Dewayne Cecil's specialty?

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

Is Dewayne Cecil enrolled in Medicare?

Yes. Dewayne Cecil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dewayne Cecil was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.