MRS. MARY STEPHANIE GANGCUANGCO BAUTISTA FNP
NPI 1437506581
Nurse Practitioner - Family in Murrieta, CA

Active since May 18, 2016PECOS EnrolledAccepts Medicare Assignment
28062 BAXTER RD, MURRIETA, CA 92563(956) 534-6114 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 5, 2026, May 25, 2017, Oct 21, 2016 and 1 more (4 updates tracked since 2016).

About Mrs. Mary Stephanie Gangcuangco Bautista Fnp NPPES

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

MRS. MARY STEPHANIE GANGCUANGCO BAUTISTA FNP (NPI 1437506581) is an individual family provider in Murrieta, California, licensed in California (95005578) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1437506581
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY STEPHANIE GANGCUANGCO BAUTISTACredential: FNP
Location Address28062 BAXTER RDMurrieta, CA 92563-1401
Mailing Address3853 W Stetson AveHemet, CA 92545-9674 · (951) 929-6900
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 18, 2016
Last NPPES UpdateMarch 5, 20264 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1437506581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95005578
Also ListedRegistered NurseTaxonomy 163W00000X · License 676857 (CA)
28062 BAXTER RD, Murrieta, CA 92563

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

Mrs. Mary Stephanie Gangcuangco Bautista Fnp 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 ID8527331370
PECOS Enrollment IDI20170830002268
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 92563 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.

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.

Social Worker (Clinical)
28062 BAXTER RD
MURRIETA, CA 92563
Specialist
28062 BAXTER RD
MURRIETA, CA 92563
Anesthesiology
28062 BAXTER RD
MURRIETA, CA 92563
Nurse Practitioner (Family)
28062 BAXTER RD
MURRIETA, CA 92563
Physician Assistant
28062 BAXTER RD
MURRIETA, CA 92563
Nurse Practitioner (Adult Health)
28062 BAXTER RD
MURRIETA, CA 92563
Registered Nurse (Registered Nurse First Assistant)
28062 BAXTER RD
MURRIETA, CA 92563
Registered Nurse (Registered Nurse First Assistant)
28062 BAXTER RD
MURRIETA, CA 92563

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437506581, enumerated as an "individual" on May 18, 2016.

The provider is located at 28062 BAXTER RD MURRIETA, CA 92563 and the phone number is (956) 534-6114.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.