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LORETTA M NICCOLA NP
NPI 1518895374
Nurse Practitioner in Mission Viejo, CA

Active since May 12, 2026PECOS EnrolledAccepts Medicare Assignment
24002 VIA FABRICANTE STE 501, MISSION VIEJO, CA 92691(949) 454-8811(949) 454-8833 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Loretta M Niccola Np NPPES

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

LORETTA M NICCOLA NP (NPI 1518895374) is an individual nurse practitioner in Mission Viejo, California, licensed in California (294615) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1518895374
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORETTA M NICCOLACredential: NP
Location Address24002 VIA FABRICANTE STE 501Mission Viejo, CA 92691-3934
Mailing Address22602 FormentorMission Viejo, CA 92692-1151
Phone(949) 454-8811
Fax(949) 454-8833
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1518895374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 294615
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
24002 VIA FABRICANTE STE 501, Mission Viejo, CA 92691
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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

Loretta M Niccola 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 ID4688146863
PECOS Enrollment IDI20260618002134
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 Loretta Niccola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gateway Rehab & Wellness Center, Inc.
0.4 mi
Specialist
24002 VIA FABRICANTE, SUITE 501
Mission Viejo, CA 92691
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1184746927 (949) 454-8811

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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.

Other Providers at the Same Location NPPES 7

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

DR. SAMUEL ROY CORNELL DC, ATC
Chiropractor
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 454-8811
CINDY CHRISTINA FARAGUNA NURSE PRACTITIONER
Nurse Practitioner (Family)
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 454-8811
LINA KHANUKAYEV PT, DPT
Physical Therapist (Orthopedic)
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 454-8811
SOGOL FATEHI
Physical Therapist
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 454-8811
ALLEN CHIROPRACTIC, A PROFESSIONAL CORPORATION
Chiropractor (Neurology)
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 855-9629
DR. NICHOLAS ROGERS D.C.
Chiropractor
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 707-4770
THOMAS JACOB VANDUSEN
Chiropractor (Rehabilitation)
24002 VIA FABRICANTE STE 501
MISSION VIEJO, CA 92691
Orange County (949) 454-8811

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 Loretta Niccola's NPI number?

The NPI number for Loretta Niccola is 1518895374. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Where is Loretta Niccola located?

Loretta Niccola practices at 24002 Via Fabricante Ste 501, Mission Viejo, CA 92691. The listed phone number is (949) 454-8811.

What is Loretta Niccola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Loretta Niccola enrolled in Medicare?

Yes. Loretta Niccola 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 Loretta Niccola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loretta Niccola reassigns Medicare benefits to Gateway Rehab & Wellness Center, Inc. (Mission Viejo, 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 Loretta Niccola'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 Loretta Niccola was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.