ADRIEL JONATHAN GO PMHNP
NPI 1669137402
Nurse Practitioner - Psychiatric/Mental Health in Modesto, CA

Q: What is Adriel Go's NPI number?

The NPI number for Adriel Go is 1669137402. It was assigned to this individual provider in the NPPES registry on November 6, 2021.

Q: What is Adriel Go'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 Adriel Go was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 November 06, 2021PECOS Enrolled

4224 COPPER CREEK DR, MODESTO, CA 95355(209) 985-4803 Get Directions Write a Review

NPPES record last updated: June 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 14, 2025, Nov 6, 2021 (2 updates tracked since 2021).

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About Adriel Jonathan Go Pmhnp NPPES

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

ADRIEL JONATHAN GO PMHNP (NPI 1669137402) is an individual psychiatric/mental health provider in Modesto, California, licensed in California (95022431) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669137402

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameADRIEL JONATHAN GOCredential: PMHNP

Location Address4224 COPPER CREEK DRModesto, CA 95355-8963

Mailing Address4224 Copper Creek DrModesto, CA 95355-8963 · (209) 985-4803

Phone(209) 985-4803

Sole ProprietorYes

Enumeration DateNovember 6, 2021

Last NPPES UpdateJune 14, 20252 updates tracked since enumeration

NPPES CertifiedJune 14, 2025

✔ NPI 1669137402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95022431

Also ListedRegistered NurseTaxonomy 163W00000X · License 95196069 (CA)

4224 COPPER CREEK DR, Modesto, CA 95355

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adriel Jonathan Go 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.

Medicare Billing Reassignment

Medicare enrollment records show Adriel Go reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eag Professional Medical Corp.

4.5 mi

Psychiatry

1809 CENTRAL AVE STE C
Ceres, CA 95307

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1841483427 (209) 537-4434

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 95355 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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 Adriel Go's NPI number?

The NPI number for Adriel Go is 1669137402. It was assigned to this individual provider in the NPPES registry on November 6, 2021.

Where is Adriel Go located?

Adriel Go practices at 4224 Copper Creek Dr, Modesto, CA 95355. The listed phone number is (209) 985-4803.

What is Adriel Go's specialty?

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

Is Adriel Go enrolled in Medicare?

Yes. Adriel Go is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adriel Go's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adriel Go reassigns Medicare benefits to Eag Professional Medical Corp. (Ceres, 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 Adriel Go'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 Adriel Go was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.