ELIZABETH GALLEGOS BAUTISTA NURSE PRACTITIONER
NPI 1609172303
Nurse Practitioner - Family in Duarte, CA
About Elizabeth Gallegos Bautista Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH GALLEGOS BAUTISTA NURSE PRACTITIONER (NPI 1609172303) is an individual family provider in Duarte, California, licensed in California (20189) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Gallegos Bautista Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Bautista reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Duarte, CA 91010
- Reassigned Medicare billing, California enrollment
- 1,335 clinicians in this Medicare group
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 91010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Elizabeth Bautista's NPI number?
The NPI number for Elizabeth Bautista is 1609172303. It was assigned to this individual provider in the NPPES registry on January 28, 2011.
Where is Elizabeth Bautista located?
Elizabeth Bautista practices at 1500 E. Duarte Road, Duarte, CA 91010. The listed phone number is (626) 256-4673.
What is Elizabeth Bautista's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elizabeth Bautista enrolled in Medicare?
Yes. Elizabeth Bautista is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Bautista's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Bautista reassigns Medicare benefits to City Of Hope Medical Foundation (Duarte, 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 Elizabeth Bautista'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 Elizabeth Bautista was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Elizabeth Gallegos Bautista, NURSE PRACTITIONER · NPI 1609172303
Family physician in Duarte, California. Individual provider, active in the CMS NPPES registry since January 28, 2011.
## Identity
- **NPI:** 1609172303 (Entity type: Individual)
- **Enumerated:** January 28, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 20189 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 E. DUARTE ROAD, Duarte, CA 91010
- **Phone:** (626) 256-4673
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** City Of Hope Medical Foundation (NPI 1871886366, Duarte, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 12, 2020
- **Other identifiers:** Other NP20189 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609172303) · Data from the CMS NPPES public registry.