CECILIA LYNN IACOVIELLO (FNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003140336
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for CECILIA LYNN IACOVIELLO (FNP, PMHNP-BC)
31573 RANCHO PUEBLO RD STE 200
TEMECULA, CA 925924854
Phone:
Type: Mailing
1111 N China Lake Blvd Ste 190
Ridgecrest, CA 935553131
Phone: (760) 499-3855
Fax: (760) 499-3870
Type: Location
1970 University Ave
Riverside, CA 925075202
Phone: (951) 213-3450
Type: Location
Ridgecrest Regional Hospital, 1081, North China Lake Boulevard, Ridgecrest, Kern County, California, 93555, United States
RIDGECREST, CA 935553130
Phone: (760) 499-3855
Fax: (760) 499-3870
Type: Mailing
190, North China Lake Boulevard, Ridgecrest, Kern County, California, 93555, United States
RIDGECREST, CA 935553131
Phone: (760) 499-3855
Fax: (760) 499-3870
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $258.
Total Amount is formed as General ($258) + Research ($0) + Ownership ($0) = $258.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: GENZYME CORPORATION ($125).
Total Amount
$258
General + Research + Ownership
Payments
3
Total payment records
General Amount
$258
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $125 |
| Biogen, Inc. | $98 |
| ViiV Healthcare Company | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-12-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091222000325 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92592)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Marriage And Family Therapist | CA | |
| P S Y C H I A T R Y | CA | |
| Clinical Social Worker | CA | |
| Clinical Psychologist | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | AZ | |
| Clinical Psychologist | CA | |
| Clinical Psychologist | CA | |
| Nurse Practitioner | CA |
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