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

Q: 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.

Q: 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.

Q: 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.

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: August 16, 2026.

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

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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.

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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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