BERNADETTE PAYUMO ABREGUNDA PMHNP
NPI 1861899841
Nurse Practitioner - Gerontology in Las Vegas, NV

Q: What is Bernadette Abregunda's NPI number?

The NPI number for Bernadette Abregunda is 1861899841. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Q: What is Bernadette Abregunda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since November 19, 2014PECOS EnrolledAccepts Medicare Assignment

62.53/100

CMS Quality Rating

5771 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148(702) 951-3400(702) 951-3403 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2024, Feb 23, 2022, Feb 27, 2019 and 2 more (5 updates tracked since 2017).

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About Bernadette Payumo Abregunda Pmhnp NPPES

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

BERNADETTE PAYUMO ABREGUNDA PMHNP (NPI 1861899841) is an individual gerontology provider in Las Vegas, Nevada, licensed in Nevada (844939) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861899841

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameBERNADETTE PAYUMO ABREGUNDACredential: PMHNP

Location Address5771 S FORT APACHE RD STE 100Las Vegas, NV 89148-5626

Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883

Phone(702) 951-3400

Fax(702) 951-3403

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 19, 2014

Last NPPES UpdateJune 24, 20245 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1861899841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in NV · 844939✔ Licensed in TX · AP126948

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP126948 (TX)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP126948 (TX)

5771 S FORT APACHE RD STE 100, Las Vegas, NV 89148

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Secondary Practice Locations 2

Location 1301 W Expressway 83McAllen, TX 78503-3045 · Phone (956) 632-4000 · Fax (956) 961-4286

Location 28901 N 2nd StMcAllen, TX 78504-1967 · Phone (956) 961-4157 · Fax (956) 630-0472

Other Identifiers 6

Medicaid1861899841NV

Other412738ZSJCTX · Medicare

Medicaid0346209502TX

Medicaid3462095-05TX

Other844939NV · State License

OtherP01666642TX · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Bernadette Payumo Abregunda 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 ID6406177427

PECOS Enrollment IDI20150603000415, I20230623000598

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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

961 services130 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

419 services120 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

402 services130 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

247 services73 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

109 services105 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

58 services43 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services30 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

23 services23 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

21 services21 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

17 services16 patients

Telephone or internet referral service, 30 minutes 99452

A telephone or internet referral service involves a 30-minute session where you can discuss your health concerns with a healthcare professional. They will listen to your symptoms, answer your questions, and guide you to the appropriate specialist or service for further assistance. This service is safe, confidential, and convenient.

16 services15 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89148 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

62.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

36.8

Promoting Interoperability

Improvement Activities

Cost

30.8

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers17 claims485 services$4.91 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims4,884 services$0.58 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

1 supplier12 claims12 services$57.66 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier14 claims14 services$5.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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 Bernadette Abregunda's NPI number?

The NPI number for Bernadette Abregunda is 1861899841. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Where is Bernadette Abregunda located?

Bernadette Abregunda practices at 5771 S Fort Apache Rd Ste 100, Las Vegas, NV 89148. The listed phone number is (702) 951-3400.

What is Bernadette Abregunda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Bernadette Abregunda enrolled in Medicare?

Yes. Bernadette Abregunda 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.

What insurance does Bernadette Abregunda accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Bernadette Abregunda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bernadette Abregunda was last updated on June 24, 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.