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MS. YVONNE CARLO MEDOCK NP
NPI 1700948924
Nurse Practitioner in San Bernardino, CA

Active since December 14, 2006PECOS Enrolled
190 E. HIGHLAND AVE, SAN BERNARDINO, CA 92404(909) 882-4788(909) 882-8819 Get Directions Write a Review

NPPES record last updated: May 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2017, Apr 20, 2017 (2 updates tracked since 2017).

About Ms. Yvonne Carlo Medock Np NPPES

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

MS. YVONNE CARLO MEDOCK NP (NPI 1700948924) is an individual nurse practitioner in San Bernardino, California, licensed in California (11606) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700948924
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. YVONNE CARLO MEDOCKCredential: NP
Location Address190 E. HIGHLAND AVESan Bernardino, CA 92404-3658
Mailing Address200 Oceangate, Suite 100Long Beach, CA 90802-4317 · (562) 499-6191 · Fax (909) 882-8819
Phone(909) 882-4788
Fax(909) 882-8819
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateMay 22, 20172 updates tracked since enumeration
✔ NPI 1700948924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in CA · 11606✔ Licensed in WA · AP30006841
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
190 E. HIGHLAND AVE, San Bernardino, CA 92404
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Other Identifiers 8

Medicare PINGA222ACA
MedicaidEFF.4/23/13-S.RIVERSCA
OtherP01805640-DU5182CA · Railroad Medicare
OtherP01288547/DU4034CA · Railroad Medicare-san Bernardino
Other07252016CA · Medical Colton Eff 7/25/16
MedicaidEFF:2/21/13-FONTANACA
MedicaidEFF:2/21/13 SAN BERNCA
Medicare PINGZ016Z-EFF 1/28/13CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Yvonne Carlo Medock Np 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 92404 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.

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 Yvonne Medock's NPI number?

The NPI number for Yvonne Medock is 1700948924. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Yvonne Medock located?

Yvonne Medock practices at 190 E. Highland Ave, San Bernardino, CA 92404. The listed phone number is (909) 882-4788.

What is Yvonne Medock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Yvonne Medock enrolled in Medicare?

Yes. Yvonne Medock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yvonne Medock was last updated on May 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.