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NICOLE SIACUNCO DO
NPI 1508447194
Anesthesiology in Rancho Mirage, CA

Active since April 15, 2021PECOS EnrolledAccepts Medicare Assignment
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270(760) 340-3911(760) 837-8876 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Siacunco Do NPPES

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

NICOLE SIACUNCO DO (NPI 1508447194) is an individual anesthesiology provider in Rancho Mirage, California, licensed in California (20A24186) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2021).

NPPES Registry Identity

NPI1508447194
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameNICOLE SIACUNCOCredential: DO
Location Address39000 BOB HOPE DRRancho Mirage, CA 92270-3221
Mailing Address39000 Bob Hope DrRancho Mirage, CA 92270-3221 · (760) 340-3911 · Fax (760) 837-8876
Phone(760) 340-3911
Fax(760) 837-8876
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2021
Enumeration DateApril 15, 2021
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1508447194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · 20A24186
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
39000 BOB HOPE DR, Rancho Mirage, CA 92270
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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

Nicole Siacunco Do 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 ID5799194536
PECOS Enrollment IDI20250815003180
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 Reassignment

Medicare enrollment records show Nicole Siacunco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eisenhower Medical Center
Same address
General Acute Care Hospital
39000 BOB HOPE DR
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 595 clinicians in this Medicare group
NPI 1013981554 (760) 340-3911

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

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.

MS. NORMA ZAPATA LCSW
Social Worker (Clinical)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3911
ADELE ALEXANDRA FIELDS MD
Radiology (Diagnostic Radiology)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-1574
DR. PETER JAMES SOFIA M.D.
Anesthesiology
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3911
ANDREA VIRGINIA CORPORA PA-C
Thoracic Surgery (Cardiothoracic Vascular Surgery)
39000 BOB HOPE DR, K - 108
RANCHO MIRAGE, CA 92270
Riverside County (760) 568-4330
SEVWANDI DE SILVA M.D.
Internal Medicine (Pulmonary Disease)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 834-3564
ERVIN XHUFKA NP
Nurse Practitioner (Family)
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 837-8542
LOGAN BUCKNER PT, DPT
Physical Therapist
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3911
MOLLY E MCKEOWN PA-C
Physician Assistant
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3911

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 Nicole Siacunco's NPI number?

The NPI number for Nicole Siacunco is 1508447194. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Nicole Siacunco located?

Nicole Siacunco practices at 39000 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (760) 340-3911.

What is Nicole Siacunco's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Nicole Siacunco enrolled in Medicare?

Yes. Nicole Siacunco 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 organization bills Medicare for Nicole Siacunco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Siacunco reassigns Medicare benefits to Eisenhower Medical Center (Rancho Mirage, CA). The 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 Nicole Siacunco'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 Nicole Siacunco was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.