GWENDOLYN PRESTON (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053752485

GWENDOLYN PRESTON (FNP) is a healthcare provider. based in Pasadena, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 21719 (CA). The NPI Number for GWENDOLYN PRESTON (FNP) is 1053752485

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
GWENDOLYN PRESTON (FNP)
NPI
1053752485
Phone
Not provided
Address
1491 N MAR VISTA AVE
Enumeration Date
15 July 2013
Last Update Date
23 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2136392500
Graduation Year
2011 (15 years ago)
PAC ID
9234497769
Group Practice PAC ID
4082008420
Professional Enrollment ID
I20171211001514
Address ID
CA900051355LO679XXAVEX502
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for GWENDOLYN PRESTON (FNP)

  • 1491 N MAR VISTA AVE

    PASADENA, CA 911042506

    Phone:

    Type: Mailing

  • 679 S NEW HAMPSHIRE AVE

    LOS ANGELES, CA 900051355

    Phone: (213) 639-0251

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $859.

Total Amount is formed as General ($859) + Research ($0) + Ownership ($0) = $859.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($404).

Total Amount

$859

General + Research + Ownership

Payments

19

Total payment records

General Amount

$859

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2017-12-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171211001514INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes11344$0
99443Telephone medical discussion with physician, 21-30 minutes6231$0
99212Established patient office or other outpatient visit, 10-19 minutes2216$0
View full utilization report →

Insurance plans in this area (ZIP 91104)

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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: 4082008420View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
Marriage And Family TherapistCA
P S Y C H I A T R YCA
P S Y C H I A T R YGA
P S Y C H I A T R YCA
P S Y C H I A T R YCA
Nurse PractitionerCA
Marriage And Family TherapistCA
P S Y C H I A T R YNY
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

How is GWENDOLYN PRESTON (FNP) identified in CMS data?
CMS-hosted NPPES data lists GWENDOLYN PRESTON (FNP) with NPI 1053752485.
Is GWENDOLYN PRESTON (FNP) still practicing?
GWENDOLYN PRESTON (FNP) is currently listed as active in the public NPI registry.
What is GWENDOLYN PRESTON (FNP)'s specialty?
The listing groups GWENDOLYN PRESTON (FNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does GWENDOLYN PRESTON (FNP) serve?
GWENDOLYN PRESTON (FNP)'s listing highlights Pasadena, California; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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