LIBERTY MACIAS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1376936476

LIBERTY MACIAS (PMHNP-BC) is a healthcare provider. based in Loma linda, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 95002264 (CA). The NPI Number for LIBERTY MACIAS (PMHNP-BC) is 1376936476

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LIBERTY MACIAS (PMHNP-BC)
NPI
1376936476
Phone
(909) 900-6465
Address
26070 LUGO DR
Enumeration Date
13 March 2015
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9095726226
Graduation Year
2014 (12 years ago)
PAC ID
3779803549
Professional Enrollment ID
I20150617000251
Address ID
CA923243944CO1430XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for LIBERTY MACIAS (PMHNP-BC)

  • 26070 LUGO DR

    LOMA LINDA, CA 923546507

    Phone: (909) 900-6465

    Fax: (888) 505-0620

    Type: Mailing

  • 153 S Broadway

    Blythe, CA 922252501

    Phone: (760) 922-7322

    Type: Location

  • 1007 E Cooley Dr Ste 109

    Colton, CA 923243901

    Phone: (909) 370-4700

    Fax: (888) 505-0620

    Type: Location

  • PO BOX 1303

    LOMA LINDA, CA 923541303

    Phone: (909) 792-6886

    Fax: (888) 505-0620

    Type: Mailing

  • 515 NEW JERSEY ST STE A

    REDLANDS, CA 923736249

    Phone: (909) 792-6886

    Fax: (888) 505-0620

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 512 Open Payments records for all available years, with a total value of $89,795.

Total Amount is formed as General ($89,795) + Research ($0) + Ownership ($0) = $89,795.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Alkermes, Inc. ($32,690).

Total Amount

$89,795

General + Research + Ownership

Payments

512

Total payment records

General Amount

$89,795

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2015-06-17

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
I20150617000251INurse 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 minutes22745$0
View full utilization report →

Insurance plans in this area (ZIP 92354)

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Reviews

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Frequently asked questions

What is LIBERTY MACIAS (PMHNP-BC)'s NPI number?
LIBERTY MACIAS (PMHNP-BC)'s NPI is 1376936476 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to LIBERTY MACIAS (PMHNP-BC)?
You should see LIBERTY MACIAS (PMHNP-BC) as active in CMS-hosted NPPES data.
How would a patient describe LIBERTY MACIAS (PMHNP-BC)'s focus?
For LIBERTY MACIAS (PMHNP-BC), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LIBERTY MACIAS (PMHNP-BC) located near Loma Linda?
LIBERTY MACIAS (PMHNP-BC) currently maps to Loma Linda, California in this extract.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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