TRITIA BUELL
NPI 1740941996
Nurse Practitioner - Women's Health in Loma Linda, CA

Q: What is Tritia Buell's NPI number?

The NPI number for Tritia Buell is 1740941996. It was assigned to this individual provider in the NPPES registry on January 9, 2022. The provider is also known as Tritia Simandjuntak.

Q: What is Tritia Buell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Tritia Buell was last updated on January 9, 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.

Active since January 09, 2022PECOS EnrolledAccepts Medicare Assignment

11370 ANDERSON ST STE 3900, LOMA LINDA, CA 92354(909) 558-2806 Get Directions Write a Review

NPPES record last updated: January 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tritia Buell NPPES

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

TRITIA BUELL (NPI 1740941996) is an individual women's health provider in Loma Linda, California, licensed in California (95018897) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1740941996

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameTRITIA BUELL

Location Address11370 ANDERSON ST STE 3900Loma Linda, CA 92354-3450

Mailing Address1014 Egret StCalimesa, CA 92320-4920

Phone(909) 558-2806

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 9, 2022

NPPES CertifiedDecember 19, 2021

✔ NPI 1740941996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 95018897

11370 ANDERSON ST STE 3900, Loma Linda, CA 92354

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Other Names 1

Former Name (1)Tritia Simandjuntak

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tritia Buell 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 ID4183019151

PECOS Enrollment IDI20220310001063

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 92354 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 10

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

SAMIRA MONAVVARI MD

Obstetrics & Gynecology