ELIZABETH GALLEGOS BAUTISTA NURSE PRACTITIONER
NPI 1609172303
Nurse Practitioner - Family in Duarte, CA

Q: 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.

Q: What is Elizabeth Bautista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 28, 2011PECOS Enrolled

1500 E. DUARTE ROAD, DUARTE, CA 91010(626) 256-4673 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2020, Aug 8, 2019 (2 updates tracked since 2019).

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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

NPI1609172303

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH GALLEGOS BAUTISTACredential: NURSE PRACTITIONER

Location Address1500 E. DUARTE ROADDuarte, CA 91010

Mailing AddressPo Box 512185Los Angeles, CA 90051-0185

Phone(626) 256-4673

Sole ProprietorNo

Enumeration DateJanuary 28, 2011

Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration

NPPES CertifiedNovember 12, 2020

✔ NPI 1609172303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 20189

Also ListedNurse PractitionerTaxonomy 363L00000X · License NP20189 (CA)

1500 E. DUARTE ROAD, Duarte, CA 91010

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Other Identifiers 1

OtherNP20189CA · Ca. Board Of Nursing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Gallegos Bautista Nurse Practitioner 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 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.

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 20

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

DR. LORENA GONZALEZ M.D.

Surgery