Charmaine Ni, - Medicare Nurse Practitioner in San Pedro, CA

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Charmaine Ni, is a medicare enrolled "Nurse Practitioner - Family" in San Pedro, California. Their current practice location is 593 W 6th St, San Pedro, California. You can reach out to their office (for appointments etc.) via phone at (310) 547-0202.

Charmaine Ni is licensed to practice in California (license number 95032021) and this provider also participates in the medicare program. This provider does not accept medicare assignments directly but this provider may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Their NPI Number is 1497648422.

Contact Information

Charmaine Ni,
593 W 6th St,
San Pedro, CA 90731-2521
(310) 547-0202
Not Available

Map and Direction




Provider's Profile

Full NameCharmaine Ni
Gender
SpecialityNurse Practitioner - Family
Location593 W 6th St, San Pedro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497648422
  • Provider Enumeration Date: 05/29/2025
  • Last Update Date: 09/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7113438318
  • Enrollment ID: I20250616000988

Medical Identifiers

Medical identifiers for Charmaine Ni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497648422NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95032021 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charmaine Ni allows following entities to bill medicare on their behalf.
Entity NameEast Valley Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831243625
PECOS PAC ID: 9234041765
Enrollment ID: O20050425000560

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charmaine Ni is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charmaine Ni,
805 Berkenstock Cir,
Placentia, CA 92870-2747

Ph: Not Available		Charmaine Ni,
593 W 6th St,
San Pedro, CA 90731-2521

Ph: (310) 547-0202

Reviews and Comments


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Jason Swiecki, FNP-BC
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Lilia Isabel Stephenson, NP
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Practice Location: 1921 W 26th St, San Pedro, CA 90732
Phone: 310-833-4661    
Ms. Doris Renee Celi, APRN
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Practice Location: 852-856 W 19th Street, San Pedro, CA 90731
Phone: 310-519-8723    
Jodi-anne Martina Davidson, NP
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Practice Location: 528 W 23rd St, San Pedro, CA 90731
Phone: 713-859-8840    
Susan T Barie, NP, CNM
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Practice Location: 920 W 5th St, San Pedro, CA 90731
Phone: 310-833-6526    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.