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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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: July 19, 2026.

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

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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

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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 (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.

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.