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MRS. MAVIS EFUETNGU PMHNP
NPI 1538787239
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA

Active since July 09, 2020PECOS Enrolled
255 N D ST STE 400, SAN BERNARDINO, CA 92401(951) 318-5396 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 13, 2023, Jan 12, 2023, Dec 1, 2022 and 1 more (4 updates tracked since 2020).

About Mrs. Mavis Efuetngu Pmhnp NPPES

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

MRS. MAVIS EFUETNGU PMHNP (NPI 1538787239) is an individual psychiatric/mental health provider in San Bernardino, California, licensed in California (95014162) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1538787239
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. MAVIS EFUETNGUCredential: PMHNP
Location Address255 N D ST STE 400San Bernardino, CA 92401-1715
Mailing Address415 East Ave ILancaster, CA 93535 · (661) 522-6770
Phone(951) 318-5396
Sole ProprietorNo
Enumeration DateJuly 9, 2020
Last NPPES UpdateMarch 13, 20234 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
✔ NPI 1538787239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95014162
255 N D ST STE 400, San Bernardino, CA 92401
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1415 East Ave ILancaster, CA 93535 · Phone (661) 522-6770
Location 2777 S Figueroa St Ste 810Los Angeles, CA 90017-5813 · Phone (888) 588-8995
Location 3560 E Hospitality Ln # 330San Bernardino, CA 92408-3546 · Phone (714) 627-5477

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mavis Efuetngu Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Mavis Efuetngu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diligence Care Plus Nursing Corporation
4.5 mi
Psychiatric/Mental Health
1233 N E ST
San Bernardino, CA 92405
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1548977242 (951) 318-5396
Grow Healthcare Group PC
342 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Grow Healthcare Group PA
2,287 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona enrollment
  • 532 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 92401 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 7

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

YOUTH HOPE LICENSED CLINICAL SOCIAL WORKER CORP
Social Worker (Clinical)
255 N D ST STE 400
SAN BERNARDINO, CA 92401
San Bernardino County (909) 567-2808
MS. ABIEYUWA SARAH SALAMI DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
255 N D ST STE 400
SAN BERNARDINO, CA 92401
San Bernardino County (281) 576-8345
MR. ERIC ALEMNJI EFUETNGU FNP-C
Nurse Practitioner (Family)
255 N D ST STE 400
SAN BERNARDINO, CA 92401
San Bernardino County (951) 318-5395
MRS. BERNADETTE NKECHI AKPENGBE FNP
Nurse Practitioner (Psychiatric/Mental Health)
255 N D ST STE 400
SAN BERNARDINO, CA 92401
San Bernardino County (909) 455-7571
JESSICA ADESUWA AGBONKPOLO MS, LCSW
Counselor (Mental Health)
255 N D ST STE 400
SAN BERNARDINO, CA 92401
San Bernardino County (909) 567-2808
KATE E SALAMI LCSW
Counselor (Mental Health)
255 N D ST STE 400
SAN BERNARDINO, CA 92401
San Bernardino County (909) 567-2808
TIME FOR COMFORT NURSING, INC.
Nurse Practitioner (Psychiatric/Mental Health)
255 N D ST STE 400
SAN BERNARDINO, CA 92401
San Bernardino County (281) 576-8344

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 Mavis Efuetngu's NPI number?

The NPI number for Mavis Efuetngu is 1538787239. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Mavis Efuetngu located?

Mavis Efuetngu practices at 255 N D St Ste 400, San Bernardino, CA 92401. The listed phone number is (951) 318-5396.

What is Mavis Efuetngu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mavis Efuetngu enrolled in Medicare?

Yes. Mavis Efuetngu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mavis Efuetngu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mavis Efuetngu reassigns Medicare benefits to 3 organizations: Diligence Care Plus Nursing Corporation (San Bernardino, CA), Grow Healthcare Group PC (San Jose, CA) and Grow Healthcare Group PA (Miami, FL). 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 Mavis Efuetngu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mavis Efuetngu accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Mavis Efuetngu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mavis Efuetngu was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.