JANNELYN PANGANIBAN CORREA FNP-C
NPI 1679180863
Nurse Practitioner - Family in Pomona, CA
About Jannelyn Panganiban Correa Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANNELYN PANGANIBAN CORREA FNP-C (NPI 1679180863) is an individual family provider in Pomona, California, licensed in California (95014874) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jannelyn Panganiban Correa Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jannelyn Correa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baldwin Park, CA 91706
- Reassigned Medicare billing, California enrollment
- 13,921 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 91767 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 18
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 Jannelyn Correa's NPI number?
The NPI number for Jannelyn Correa is 1679180863. It was assigned to this individual provider in the NPPES registry on September 30, 2020. The provider is also known as Jannelyn Panganiban Fnp-C.
Where is Jannelyn Correa located?
Jannelyn Correa practices at 1450 E Holt Ave, Pomona, CA 91767. The listed phone number is (909) 630-7927.
What is Jannelyn Correa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jannelyn Correa enrolled in Medicare?
Yes. Jannelyn Correa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jannelyn Correa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jannelyn Correa reassigns Medicare benefits to Southern California Permanente Medical Group (Baldwin Park, 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 Jannelyn Correa'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 Jannelyn Correa was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.
# Jannelyn Panganiban Correa, FNP-C · NPI 1679180863
Family physician in Pomona, California. Individual provider, active in the CMS NPPES registry since September 30, 2020.
## Identity
- **NPI:** 1679180863 (Entity type: Individual)
- **Enumerated:** September 30, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95014874 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 E HOLT AVE, Pomona, CA 91767-5822
- **Phone:** (909) 630-7927
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1770515280, Baldwin Park, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679180863) · Data from the CMS NPPES public registry.