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MRS. MARIANNA GIOCONDA CISNEROS FNP-C
NPI 1760200331
Nurse Practitioner in La Mesa, CA

Active since October 01, 2024PECOS EnrolledAccepts Medicare Assignment
4138 CHARLES ST, LA MESA, CA 91941(619) 894-4004 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Marianna Gioconda Cisneros Fnp-c NPPES

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

MRS. MARIANNA GIOCONDA CISNEROS FNP-C (NPI 1760200331) is an individual nurse practitioner in La Mesa, California, licensed in California (95029343) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1760200331
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARIANNA GIOCONDA CISNEROSCredential: FNP-C
Location Address4138 CHARLES STLa Mesa, CA 91941-7521
Mailing Address4138 Charles StLa Mesa, CA 91941-7521 · (619) 894-4004 · Fax (619) 894-4004
Phone(619) 894-4004
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
✔ NPI 1760200331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95029343
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.
4138 CHARLES ST, La Mesa, CA 91941
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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 and accepts Medicare assignment

Mrs. Marianna Gioconda Cisneros Fnp-c 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 ID5193210912
PECOS Enrollment IDI20251219000397
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 Marianna Cisneros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Somagen Healthcare Inc
6.0 mi
Urgent Care
8590 RIO SAN DIEGO DR, SUITE 111
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
NPI 1770015901 (855) 362-9773

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 91941 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 Marianna Cisneros's NPI number?

The NPI number for Marianna Cisneros is 1760200331. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Marianna Cisneros located?

Marianna Cisneros practices at 4138 Charles St, La Mesa, CA 91941. The listed phone number is (619) 894-4004.

What is Marianna Cisneros's specialty?

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

Is Marianna Cisneros enrolled in Medicare?

Yes. Marianna Cisneros 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 organization bills Medicare for Marianna Cisneros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marianna Cisneros reassigns Medicare benefits to Somagen Healthcare Inc (San Diego, 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 Marianna Cisneros'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 Marianna Cisneros was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.