BARIASA CAROLINE KANABOLO PMHNP
NPI 1578093050
Nurse Practitioner - Psychiatric/Mental Health in Riverside, CA

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment
9890 COUNTY FARM RD BLDG 2, RIVERSIDE, CA 92503(951) 509-2499 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 20, 2017, Jun 15, 2017 (3 updates tracked since 2017).

About Bariasa Caroline Kanabolo Pmhnp NPPES

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

BARIASA CAROLINE KANABOLO PMHNP (NPI 1578093050) is an individual psychiatric/mental health provider in Riverside, California, licensed in California (95006727) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1578093050
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBARIASA CAROLINE KANABOLOCredential: PMHNP
Location Address9890 COUNTY FARM RD BLDG 2Riverside, CA 92503-3505
Mailing Address8498 Daisy LnRiverside, CA 92508-7103
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 15, 2017
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1578093050 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 · 95006727
9890 COUNTY FARM RD BLDG 2, Riverside, CA 92503

Secondary Practice Location 1

Location 18498 Daisy LnRiverside, CA 92508-7103 · Phone (951) 236-9430

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bariasa Caroline Kanabolo Pmhnp 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 ID941601751
PECOS Enrollment IDI20210630004044
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 92503 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 4

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

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
9890 COUNTY FARM RD BLDG 2
RIVERSIDE, CA 92503
Registered Nurse
9890 COUNTY FARM RD BLDG 2
RIVERSIDE, CA 92503
Peer Specialist
9890 COUNTY FARM RD BLDG 2
RIVERSIDE, CA 92503
Peer Specialist
9890 COUNTY FARM RD BLDG 2
RIVERSIDE, CA 92503

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 Bariasa Kanabolo's NPI number?

The NPI number for Bariasa Kanabolo is 1578093050. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Bariasa Kanabolo located?

Bariasa Kanabolo practices at 9890 County Farm Rd Bldg 2, Riverside, CA 92503. The listed phone number is (951) 509-2499.

What is Bariasa Kanabolo's specialty?

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

Is Bariasa Kanabolo enrolled in Medicare?

Yes. Bariasa Kanabolo 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.

What insurance does Bariasa Kanabolo accept?

Health plans from Providence Health Plan list Bariasa Kanabolo 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 Bariasa Kanabolo was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.