MOMOKA NAKAMURA NISHINO
NPI 1861349425
Nurse Practitioner - Family in Long Beach, CA

Active since March 12, 2026PECOS EnrolledAccepts Medicare Assignment
2572 ATLANTIC AVE, LONG BEACH, CA 90806(888) 606-0911 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Momoka Nakamura Nishino NPPES

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

MOMOKA NAKAMURA NISHINO (NPI 1861349425) is an individual family provider in Long Beach, California, licensed in California (950378019) and active in the NPI registry since March 2026. The provider is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2025).

NPPES Registry Identity

NPI1861349425
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameMOMOKA NAKAMURA NISHINO
Location Address2572 ATLANTIC AVELong Beach, CA 90806-2751
Mailing Address3612 W Estates Ln Unit ERolling Hills Estates, CA 90274-4147
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2025
Enumeration DateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
NPI 1861349425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 950378019
2572 ATLANTIC AVE, Long Beach, CA 90806

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

Momoka Nakamura Nishino 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 ID4183191190
PECOS Enrollment IDI20260428001112
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 90806 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 5

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

Physician Assistant
2572 ATLANTIC AVE
LONG BEACH, CA 90806
Dietitian, Registered (Nutrition, Obesity and Weight Management)
2572 ATLANTIC AVE
LONG BEACH, CA 90806
Optometrist
2572 ATLANTIC AVE
LONG BEACH, CA 90806
Specialist
2572 ATLANTIC AVE
LONG BEACH, CA 90806
Physician Assistant
2572 ATLANTIC AVE
LONG BEACH, CA 90806

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 Momoka Nakamura Nishino's NPI number?

The NPI number for Momoka Nakamura Nishino is 1861349425. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Momoka Nakamura Nishino located?

Momoka Nakamura Nishino practices at 2572 Atlantic Ave, Long Beach, CA 90806. The listed phone number is (888) 606-0911.

What is Momoka Nakamura Nishino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Momoka Nakamura Nishino enrolled in Medicare?

Yes. Momoka Nakamura Nishino 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.

When was this NPI record last updated?

The NPPES record for Momoka Nakamura Nishino was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.