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MIRIAM LY VILA PACLIBON FNP-C
NPI 1962123380
Nurse Practitioner - Family in Berkeley, CA

Active since September 05, 2022PECOS Enrolled
837 ADDISON ST, BERKELEY, CA 94710(510) 981-4100 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2022, Sep 5, 2022 (2 updates tracked since 2022).

About Miriam Ly Vila Paclibon Fnp-c NPPES

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

MIRIAM LY VILA PACLIBON FNP-C (NPI 1962123380) is an individual family provider in Berkeley, California, licensed in California (F07221784) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2022).

NPPES Registry Identity

NPI1962123380
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRIAM LY VILA PACLIBONCredential: FNP-C
Location Address837 ADDISON STBerkeley, CA 94710-2047
Mailing Address837 Addison StBerkeley, CA 94710-2047
Phone(510) 981-4100
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2022
Enumeration DateSeptember 5, 2022
Last NPPES UpdateOctober 21, 20222 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
✔ NPI 1962123380 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 · F07221784
837 ADDISON ST, Berkeley, CA 94710
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Ly Vila Paclibon Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214309590
PECOS Enrollment IDI20230214003444
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 Miriam Ly Paclibon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifelong Medical Care
1.7 mi
Geriatric Medicine
3260 SACRAMENTO ST
Berkeley, CA 94702
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
NPI 1689670002 (510) 428-4500
Asian Americans For Community Involvement Of Santa Clara County, Inc
43 mi
Community/Behavioral Health
2400 MOORPARK AVE, SUITE 300
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • 63 clinicians in this Medicare group
NPI 1326052291 (408) 975-2730
Coyle Chiropractic Corp.
47 mi
Chiropractor
3315 ALMADEN EXPY STE 20
San Jose, CA 95118
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1811916000 (408) 264-6644

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 94710 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

VANESSA MARIE MAYEN R.N., N.P.
Nurse Practitioner (Family)
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
ZENA E HERMAN FNP
Nurse Practitioner
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
NATHANIEL PETER HOUSTON
Physician Assistant
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
EMAN ALKAHELI
Marriage & Family Therapist
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
SONAM DOLKAR DNP-FNP
Nurse Practitioner (Family)
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
NERMEEN AMMARA REHIMTOOLA
Nurse Practitioner (Family)
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
SAMARA LAXINETA CNM, WHNP
Advanced Practice Midwife
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100
JESSICA XCARLET SANCHEZ
Social Worker (Clinical)
837 ADDISON ST
BERKELEY, CA 94710
Alameda County (510) 981-4100

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 Miriam Ly Paclibon's NPI number?

The NPI number for Miriam Ly Paclibon is 1962123380. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Where is Miriam Ly Paclibon located?

Miriam Ly Paclibon practices at 837 Addison St, Berkeley, CA 94710. The listed phone number is (510) 981-4100.

What is Miriam Ly Paclibon's specialty?

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

Is Miriam Ly Paclibon enrolled in Medicare?

Yes. Miriam Ly Paclibon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Miriam Ly Paclibon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Ly Paclibon reassigns Medicare benefits to 3 organizations: Lifelong Medical Care (Berkeley, CA), Asian Americans For Community Involvement Of Santa Clara County, Inc (San Jose, CA) and Coyle Chiropractic Corp. (San Jose, 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 Miriam Ly Paclibon'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 Miriam Ly Paclibon was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.