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DEVITA ELSA DIMPUDUS PMHNP
NPI 1730987645
Nurse Practitioner - Psychiatric/Mental Health in Redlands, CA

Active since March 05, 2025PECOS EnrolledAccepts Medicare Assignment
461 TENNESSEE ST STE C, REDLANDS, CA 92373(909) 475-7371(855) 233-7921 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Devita Elsa Dimpudus Pmhnp NPPES

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

DEVITA ELSA DIMPUDUS PMHNP (NPI 1730987645) is an individual psychiatric/mental health provider in Redlands, California, licensed in California (95032404) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730987645
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDEVITA ELSA DIMPUDUSCredential: PMHNP
Location Address461 TENNESSEE ST STE CRedlands, CA 92373-8161
Mailing Address25925 Barton Road Unit 134Loma Linda, CA 92354 · (269) 240-3486
Phone(909) 475-7371
Fax(855) 233-7921
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 4, 2025
✔ NPI 1730987645 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 · 95032404
461 TENNESSEE ST STE C, Redlands, CA 92373
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Devita Elsa Dimpudus Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032631866
PECOS Enrollment IDI20250320002752
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 Reassignments

3

Medicare enrollment records show Devita Dimpudus reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medex Specialty Network, Inc.
Same address
Cardiovascular Disease
461 TENNESSEE ST STE C
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1659134252 (909) 809-0289
Jun R. Chiong, MD, Mph, Inc.
Same address
Internal Medicine
461 TENNESSEE ST STE C
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 30 clinicians in this Medicare group
NPI 1093099046 (909) 475-7371
Hisham Soliman MD Inc
387 mi
Mental Health (Including Community Mental Health Center)
510 PLAZA DR STE 170
Folsom, CA 95630
  • Reassigned Medicare billing, California enrollment
  • 99 clinicians in this Medicare group
NPI 1700199080 (916) 351-9400

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 92373 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 8

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

JUN R. CHIONG, MD, MPH, INC.
Internal Medicine
461 TENNESSEE ST STE C
REDLANDS, CA 92373
San Bernardino County (909) 475-7371
BRIAN EUGENE ELLEDGE DO
Psychiatry & Neurology (Psychiatry)
461 TENNESSEE ST STE C
REDLANDS, CA 92373
San Bernardino County (909) 475-7371
ANGELICA TAN NURSE PRACTIONER
Nurse Practitioner (Acute Care)
461 TENNESSEE ST STE C
REDLANDS, CA 92373
San Bernardino County (909) 475-7371
SETH ESLY CHELLIAH MSN, PHN, RN, FNP-C
Nurse Practitioner (Family)
461 TENNESSEE ST STE C
REDLANDS, CA 92373
San Bernardino County (909) 475-7571
DR. JUN R CHIONG M.D., M.P.H.
Internal Medicine
461 TENNESSEE ST STE C
REDLANDS, CA 92373
San Bernardino County (909) 475-7371
MEDEX SPECIALTY NETWORK, INC.
Internal Medicine (Cardiovascular Disease)
461 TENNESSEE ST STE C
REDLANDS, CA 92373
San Bernardino County (909) 809-0289
DELISA ALMA DIMPUDUS
Nurse Practitioner (Family)
461 TENNESSEE ST STE C
REDLANDS, CA 92373
San Bernardino County (269) 861-5044
TORREY DOOLEY NP
Nurse Practitioner
461 TENNESSEE ST STE C
REDLANDS, CA 92373
San Bernardino County (909) 475-7371

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 Devita Dimpudus's NPI number?

The NPI number for Devita Dimpudus is 1730987645. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Devita Dimpudus located?

Devita Dimpudus practices at 461 Tennessee St Ste C, Redlands, CA 92373. The listed phone number is (909) 475-7371.

What is Devita Dimpudus's specialty?

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

Is Devita Dimpudus enrolled in Medicare?

Yes. Devita Dimpudus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Devita Dimpudus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devita Dimpudus reassigns Medicare benefits to 3 organizations: Medex Specialty Network, Inc. (Redlands, CA), Jun R. Chiong, MD, Mph, Inc. (Redlands, CA) and Hisham Soliman MD Inc (Folsom, CA). Each 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 Devita Dimpudus'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 Devita Dimpudus was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.