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JESSICA ABRENIO BAUTISTA D.D.S.
NPI 1396919973
Dentist - General Practice in Redlands, CA

Active since April 15, 2008Opted out of Medicare · through Jan 10, 2027
2094 W REDLANDS BLVD, SUITE F, REDLANDS, CA 92373(909) 335-0500 Get Directions Write a Review

NPPES record last updated: August 25, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Abrenio Bautista D.d.s. NPPES

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

JESSICA ABRENIO BAUTISTA D.D.S. (NPI 1396919973) is an individual general practice provider in Redlands, California, licensed in California (56783) and active in the NPI registry since April 2008. She has opted out of Medicare through January 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396919973
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJESSICA ABRENIO BAUTISTACredential: D.D.S.
Location Address2094 W REDLANDS BLVD, SUITE FRedlands, CA 92373-6221
Mailing Address18590 Van Buren Blvd, Suite 2-bRiverside, CA 92508-9109 · (951) 776-9772
Phone(909) 335-0500
Sole ProprietorNo
Enumeration DateApril 15, 2008
Last NPPES UpdateAugust 25, 2009
✔ NPI 1396919973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 56783
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2094 W REDLANDS BLVD, Redlands, CA 92373
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Jessica Abrenio Bautista D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 10, 2017 through January 10, 2027.

Opt-Out Effective DateJanuary 10, 2017
Opt-Out In Effect ThroughJanuary 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92373 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
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Jessica Bautista's NPI number?

The NPI number for Jessica Bautista is 1396919973. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Jessica Bautista located?

Jessica Bautista practices at 2094 W Redlands Blvd Suite F, Redlands, CA 92373. The listed phone number is (909) 335-0500.

What is Jessica Bautista's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jessica Bautista enrolled in Medicare?

No. Jessica Bautista has opted out of Medicare through January 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jessica Bautista accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jessica Bautista as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Bautista was last updated on August 25, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.