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MRS. CATHERINE CAMPOS PMHNP
NPI 1730847070
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA

Active since December 03, 2021PECOS Enrolled
2080 S E ST STE 250, SAN BERNARDINO, CA 92408(909) 486-1207 Get Directions Write a Review

NPPES record last updated: May 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 22, 2022, Dec 3, 2021 (2 updates tracked since 2021).

About Mrs. Catherine Campos Pmhnp NPPES

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

MRS. CATHERINE CAMPOS PMHNP (NPI 1730847070) is an individual psychiatric/mental health provider in San Bernardino, California, licensed in California (95018291) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730847070
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. CATHERINE CAMPOSCredential: PMHNP
Location Address2080 S E ST STE 250San Bernardino, CA 92408-2706
Mailing Address1414 S Azusa Ave Ste B-19West Covina, CA 91791-8004 · (909) 486-1207
Phone(909) 486-1207
Sole ProprietorYes
Enumeration DateDecember 3, 2021
Last NPPES UpdateMay 22, 20222 updates tracked since enumeration
NPPES CertifiedMay 22, 2022
✔ NPI 1730847070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95018291
2080 S E ST STE 250, San Bernardino, CA 92408
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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)

Mrs. Catherine Campos 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 Catherine Campos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Telecare Corporation
120 mi
Community Based Residential Treatment Facility, Mental Illness
47915 OASIS ST
Indio, CA 92201
  • Reassigned Medicare billing, California enrollment
  • 247 clinicians in this Medicare group
NPI 1346020658 (510) 337-7950

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 92408 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 20

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

JAZMINE PANDORA LYTLE BA
Counselor
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
KRISTIAN BAHNI
Licensed Vocational Nurse
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
APRIL BLOSSER
Day Training/Habilitation Specialist
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
JOSE L GONZALEZ
Day Training/Habilitation Specialist
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
SEQURA MYNETRA WILLIAMS
Student in an Organized Health Care Education/Training Program
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
NAOMI DAY KUHLMAN
Day Training/Habilitation Specialist
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
NATALIA ELLIOTT
Student in an Organized Health Care Education/Training Program
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300
IMANI COLEMAN AMFT
Marriage & Family Therapist
2080 S E ST STE 250
SAN BERNARDINO, CA 92408
San Bernardino County (909) 433-9300

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 Catherine Campos's NPI number?

The NPI number for Catherine Campos is 1730847070. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Catherine Campos located?

Catherine Campos practices at 2080 S E St Ste 250, San Bernardino, CA 92408. The listed phone number is (909) 486-1207.

What is Catherine Campos's specialty?

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

Is Catherine Campos enrolled in Medicare?

Yes. Catherine Campos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Catherine Campos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Campos reassigns Medicare benefits to Telecare Corporation (Indio, 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 Catherine Campos'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 Catherine Campos was last updated on May 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.