MS. SHOKO OKADO NITTA NP
NPI 1780917021
Nurse Practitioner - Acute Care in Riverside, CA

Active since September 17, 2009PECOS EnrolledAccepts Medicare Assignment
4500 BROCKTON AVE STE 319, RIVERSIDE, CA 92501(951) 367-0102 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Shoko Okado Nitta Np NPPES

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

MS. SHOKO OKADO NITTA NP (NPI 1780917021) is an individual acute care provider in Riverside, California, licensed in California (18472) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1780917021
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. SHOKO OKADO NITTACredential: NP
Location Address4500 BROCKTON AVE STE 319Riverside, CA 92501-4027
Mailing Address4500 Brockton Ave Ste 319Riverside, CA 92501-4027 · (951) 384-7422
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 17, 2009
Last NPPES UpdateJanuary 28, 2019
✔ NPI 1780917021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 18472
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License 3037 (CA)
4500 BROCKTON AVE STE 319, Riverside, CA 92501

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

Ms. Shoko Okado Nitta Np 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 ID5799022927
PECOS Enrollment IDI20190125003024
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 Shoko Nitta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vascular & Interventional Radiology
4445 MAGNOLIA AVE
Riverside, CA 92501
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group

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 92501 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

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

Nurse Practitioner
4500 BROCKTON AVE STE 319
RIVERSIDE, CA 92501

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 Shoko Nitta's NPI number?

The NPI number for Shoko Nitta is 1780917021. It was assigned to this individual provider in the NPPES registry on September 17, 2009.

Where is Shoko Nitta located?

Shoko Nitta practices at 4500 Brockton Ave Ste 319, Riverside, CA 92501. The listed phone number is (951) 367-0102.

What is Shoko Nitta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shoko Nitta enrolled in Medicare?

Yes. Shoko Nitta 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 Shoko Nitta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shoko Nitta reassigns Medicare benefits to California Neurointerventional Surgeons, Inc (Riverside, 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 Shoko Nitta'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 Shoko Nitta was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.