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DONNA MIROTE SIAZON
NPI 1952946618
Nurse Practitioner in San Bernardino, CA

Active since November 16, 2019PECOS EnrolledAccepts Medicare Assignment
1800 WESTERN AVE STE 303, SAN BERNARDINO, CA 92411(909) 887-6715 Get Directions Write a Review

NPPES record last updated: November 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donna Mirote Siazon NPPES

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

DONNA MIROTE SIAZON (NPI 1952946618) is an individual nurse practitioner in San Bernardino, California, licensed in California (95013252) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952946618
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDONNA MIROTE SIAZON
Location Address1800 WESTERN AVE STE 303San Bernardino, CA 92411-1354
Mailing Address12479 Overland DrRancho Cucamonga, CA 91739-8967 · (909) 803-4102
Phone(909) 887-6715
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 16, 2019
✔ NPI 1952946618 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 · 95013252
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.
1800 WESTERN AVE STE 303, San Bernardino, CA 92411
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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

Donna Mirote Siazon 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 ID2365837390
PECOS Enrollment IDI20230221002836
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 92411 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 Donna Siazon's NPI number?

The NPI number for Donna Siazon is 1952946618. It was assigned to this individual provider in the NPPES registry on November 16, 2019.

Where is Donna Siazon located?

Donna Siazon practices at 1800 Western Ave Ste 303, San Bernardino, CA 92411. The listed phone number is (909) 887-6715.

What is Donna Siazon's specialty?

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

Is Donna Siazon enrolled in Medicare?

Yes. Donna Siazon 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 Donna Siazon was last updated on November 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.