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

Q: What is Mary Stephanie Bautista's NPI number?

The NPI number for Mary Stephanie Bautista is 1437506581. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Q: What is Mary Stephanie Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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).

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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

Phone(956) 534-6114

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

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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.

JENNIFER AMLANI

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