Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MONICA T GIANNI NP
NPI 1467094953
Nurse Practitioner - Family in Newport Beach, CA

Active since October 16, 2019PECOS Enrolled
96.5/100
CMS Quality Rating
5190 CAMPUS DR, NEWPORT BEACH, CA 92660(949) 764-3713(949) 764-5262 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 4, 2024, Jul 24, 2023, Oct 15, 2020 and 1 more (4 updates tracked since 2019).

About Monica T Gianni Np NPPES

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

MONICA T GIANNI NP (NPI 1467094953) is an individual family provider in Newport Beach, California, licensed in California (95012977) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rocklin, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467094953
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONICA T GIANNICredential: NP
Location Address5190 CAMPUS DRNewport Beach, CA 92660-2101
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(949) 764-5262
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 16, 2019
Last NPPES UpdateOctober 21, 20264 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1467094953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95012977
5190 CAMPUS DR, Newport Beach, CA 92660

Secondary Practice Location 1

Location 1550 W Ranch View Dr Ste 3000Rocklin, CA 95765-5397 · Phone (916) 409-1400 · Fax (916) 409-1499

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monica T Gianni Np 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 ID6305271289
PECOS Enrollment IDI20200123000426
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Monica Gianni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
401 E HIGHLAND AVE STE 251
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,191 clinicians in this Medicare group
General Practice
505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 407 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services74 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Family Medicine
5190 CAMPUS DR
NEWPORT BEACH, CA 92660
Nurse Practitioner (Family)
5190 CAMPUS DR
NEWPORT BEACH, CA 92660
Nurse Practitioner (Family)
5190 CAMPUS DR
NEWPORT BEACH, CA 92660
Obstetrics & Gynecology (Gynecology)
5190 CAMPUS DR
NEWPORT BEACH, CA 92660
Family Medicine
5190 CAMPUS DR
NEWPORT BEACH, CA 92660

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 Monica Gianni's NPI number?

The NPI number for Monica Gianni is 1467094953. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is Monica Gianni located?

Monica Gianni practices at 5190 Campus Dr, Newport Beach, CA 92660. The listed phone number is (949) 764-3713.

What is Monica Gianni's specialty?

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

Is Monica Gianni enrolled in Medicare?

Yes. Monica Gianni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Monica Gianni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Gianni reassigns Medicare benefits to 2 organizations: Dignity Health Medical Foundation (San Bernardino, CA) and Signify Health Medical Associates Of California, PC (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Gianni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Monica Gianni was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.