CYNTHIA L PACHECO (AGACNP) – Acute Care Nurse Practitioner, NPI 1003512088

CYNTHIA L PACHECO (AGACNP) is a healthcare provider. based in Rancho cucamonga, California. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 95024101 (CA). The NPI Number for CYNTHIA L PACHECO (AGACNP) is 1003512088

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CYNTHIA L PACHECO (AGACNP)
NPI
1003512088
Phone
(951) 990-4129
Address
6220 Terracina Ave
Enumeration Date
1 February 2023
Last Update Date
17 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9514865700
Graduation Year
2022 (4 years ago)
PAC ID
5799157145
Group Practice PAC ID
1153227814
Professional Enrollment ID
I20230210001380
Address ID
CA925553927MO26520AVEX307
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

Provider Addresses for CYNTHIA L PACHECO (AGACNP)

  • 6220 Terracina Ave

    Rancho Cucamonga, CA 917376916

    Phone: (951) 990-4129

    Type: Location

  • PO BOX 10069

    SAN BERNARDINO, CA 924230069

    Phone: (909) 335-4188

    Type: Mailing

  • 2 W FERN AVE

    REDLANDS, CA 923735916

    Phone: (909) 793-3311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABIOMED ($41).

Total Amount

$77

General + Research + Ownership

Payments

4

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-02-10

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230210001380INurse PractitionerCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 91737)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153227814View full group profile

Reviews

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Frequently asked questions

Does CYNTHIA L PACHECO (AGACNP) have a public NPI I can cite?
Public records show CYNTHIA L PACHECO (AGACNP) under NPI 1003512088.
Does the public listing show CYNTHIA L PACHECO (AGACNP) as active?
CYNTHIA L PACHECO (AGACNP)'s NPI record reflects an active status in NPPES.
What type of care does CYNTHIA L PACHECO (AGACNP) provide?
CYNTHIA L PACHECO (AGACNP)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to CYNTHIA L PACHECO (AGACNP)?
The directory associates CYNTHIA L PACHECO (AGACNP) with Rancho Cucamonga, California. Check all listed addresses for suites or satellite offices.
Who maintains CYNTHIA L PACHECO (AGACNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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