JESSICA MARLENE CORRAL NP
NPI 1629868872
Nurse Practitioner - Obstetrics & Gynecology in San Bernardino, CA

Q: What is Jessica Corral's NPI number?

The NPI number for Jessica Corral is 1629868872. It was assigned to this individual provider in the NPPES registry on May 10, 2025.

Q: What is Jessica Corral's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Corral was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 May 10, 2025PECOS Enrolled

570 S MOUNT VERNON AVE STE G, SAN BERNARDINO, CA 92410(909) 884-6700 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, May 10, 2025 (2 updates tracked since 2025).

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About Jessica Marlene Corral Np NPPES

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

JESSICA MARLENE CORRAL NP (NPI 1629868872) is an individual obstetrics & gynecology provider in San Bernardino, California, licensed in California (95029536) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629868872

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameJESSICA MARLENE CORRALCredential: NP

Location Address570 S MOUNT VERNON AVE STE GSan Bernardino, CA 92410-2737

Mailing Address570 S Mount Vernon Ave Ste GSan Bernardino, CA 92410-2737

Phone(909) 884-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 10, 2025

Last NPPES UpdateMay 16, 20252 updates tracked since enumeration

NPPES CertifiedMay 16, 2025

✔ NPI 1629868872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in CA · 95029536

570 S MOUNT VERNON AVE STE G, San Bernardino, CA 92410

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Marlene Corral Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820500424

PECOS Enrollment IDI20250620000328

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 92410 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 2

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

BOHYE SHELLY HWANG-BETAT MD

Pediatrics

570 S MOUNT VERNON AVE STE G
SAN BERNARDINO, CA 92410

San Bernardino County (423) 243-4869

DR. ANJU PUNCHAMANNIL D.O.

Family Medicine

570 S MOUNT VERNON AVE STE G
SAN BERNARDINO, CA 92410

San Bernardino County (909) 884-6700

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 Jessica Corral's NPI number?

The NPI number for Jessica Corral is 1629868872. It was assigned to this individual provider in the NPPES registry on May 10, 2025.

Where is Jessica Corral located?

Jessica Corral practices at 570 S Mount Vernon Ave Ste G, San Bernardino, CA 92410. The listed phone number is (909) 884-6700.

What is Jessica Corral's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Jessica Corral enrolled in Medicare?

Yes. Jessica Corral is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Corral was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.