MARIA JUANA CORREA DE MALDONADO NURSE PRACTITIONER
NPI 1891479176
Nurse Practitioner - Family in Moreno Valley, CA

Active since June 15, 2023PECOS EnrolledAccepts Medicare Assignment
25772 DELPHINIUM AVE, MORENO VALLEY, CA 92553(805) 368-8435 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 27, 2025, Jun 15, 2023 (2 updates tracked since 2023).

About Maria Juana Correa De Maldonado Nurse Practitioner NPPES

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

MARIA JUANA CORREA DE MALDONADO NURSE PRACTITIONER (NPI 1891479176) is an individual family provider in Moreno Valley, California, licensed in California (95023892) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1891479176
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIA JUANA CORREA DE MALDONADOCredential: NURSE PRACTITIONER
Location Address25772 DELPHINIUM AVEMoreno Valley, CA 92553-5069
Mailing Address25772 Delphinium AveMoreno Valley, CA 92553-5069 · (805) 368-8435
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 15, 2023
Last NPPES UpdateJune 27, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1891479176 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 · 95023892
25772 DELPHINIUM AVE, Moreno Valley, CA 92553

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

Maria Juana Correa De Maldonado Nurse Practitioner 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 ID8123489366
PECOS Enrollment IDI20230803002249
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 Reassignments

3

Medicare enrollment records show Maria Correa De Maldonado reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
11985 4TH ST STE 102
Yucaipa, CA 92399
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
Family Medicine
887 E SECOND ST
Pomona, CA 91766
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 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 92553 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.

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 Maria Correa De Maldonado's NPI number?

The NPI number for Maria Correa De Maldonado is 1891479176. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Maria Correa De Maldonado located?

Maria Correa De Maldonado practices at 25772 Delphinium Ave, Moreno Valley, CA 92553. The listed phone number is (805) 368-8435.

What is Maria Correa De Maldonado's specialty?

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

Is Maria Correa De Maldonado enrolled in Medicare?

Yes. Maria Correa De Maldonado 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 organizations bill Medicare for Maria Correa De Maldonado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Correa De Maldonado reassigns Medicare benefits to 3 organizations: Dlr Family Medicine Medical Group PC (Yucaipa, CA), Molina Healthcare Of California (Pomona, CA) and Southern California Permanente Medical Group (Anaheim, CA). Each 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 Maria Correa De Maldonado'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 Maria Correa De Maldonado was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.