NICOLE ANN CRUZ DUMANGAN FNP-C
NPI 1457182370
Nurse Practitioner - Primary Care in San Diego, CA

Q: What is Nicole Ann Dumangan's NPI number?

The NPI number for Nicole Ann Dumangan is 1457182370. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Q: What is Nicole Ann Dumangan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since August 12, 2024PECOS EnrolledAccepts Medicare Assignment

404 CAMINO DEL RIO S STE 102, SAN DIEGO, CA 92108(800) 316-6314 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Nicole Ann Cruz Dumangan Fnp-c NPPES

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

NICOLE ANN CRUZ DUMANGAN FNP-C (NPI 1457182370) is an individual primary care provider in San Diego, California, licensed in Nevada (881321) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457182370

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameNICOLE ANN CRUZ DUMANGANCredential: FNP-C

Location Address404 CAMINO DEL RIO S STE 102San Diego, CA 92108-3586

Mailing Address404 Camino Del Rio S Ste 102San Diego, CA 92108-3586

Phone(800) 316-6314

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 12, 2024

NPPES CertifiedAugust 12, 2024

✔ NPI 1457182370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NV · 881321

Also ListedNurse PractitionerTaxonomy 363L00000X · License 881321 (NV)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 881321 (NV)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 881321 (NV)

404 CAMINO DEL RIO S STE 102, San Diego, CA 92108

Open in Google Maps ↗

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

Nicole Ann Cruz Dumangan Fnp-c 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 ID4688101397

PECOS Enrollment IDI20241219001133

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 92108 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDEEP KAUR

Nurse Practitioner (Family)