MS. DOROTHY DELISFORT-CRISOSTOMO FNP-C
NPI 1013450816
Nurse Practitioner - Psychiatric/Mental Health in Tucker, GA

Q: What is Dorothy Delisfort-crisostomo's NPI number?

The NPI number for Dorothy Delisfort-crisostomo is 1013450816. It was assigned to this individual provider in the NPPES registry on November 28, 2016. The provider is also known as Dorothy Delisfort.

Q: What is Dorothy Delisfort-crisostomo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 28, 2016PECOS Enrolled

4228 1ST AVE STE 1, TUCKER, GA 30084(833) 583-4778(833) 583-4779 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2024, Mar 7, 2022, Dec 23, 2021 and 1 more (4 updates tracked since 2017).

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About Ms. Dorothy Delisfort-crisostomo Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DOROTHY DELISFORT-CRISOSTOMO FNP-C (NPI 1013450816) is an individual psychiatric/mental health provider in Tucker, Georgia, licensed in Georgia (RN141244) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013450816

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. DOROTHY DELISFORT-CRISOSTOMOCredential: FNP-C

Location Address4228 1ST AVE STE 1Tucker, GA 30084-4426

Mailing Address4228 1st Ave Ste 1Tucker, GA 30084-4426 · (833) 583-4778 · Fax (833) 583-4779

Phone(833) 583-4778

Fax(833) 583-4779

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 28, 2016

Last NPPES UpdateApril 15, 20244 updates tracked since enumeration

NPPES CertifiedNovember 5, 2023

✔ NPI 1013450816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN141244

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN141244 (GA)

4228 1ST AVE STE 1, Tucker, GA 30084

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Other Names 1

Other Name (5)Dorothy Delisfort

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Dorothy Delisfort-crisostomo Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759659667

PECOS Enrollment IDI20230915001229

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Dorothy Delisfort-crisostomo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

U-First Healthcare LLC

Same address

Psychiatric/Mental Health

4228 1ST AVE STE 1
Tucker, GA 30084

Reassigned Medicare billing, Florida, Georgia, New York and Washington enrollments

NPI 1205375862 (833) 583-4778

The Southeast Permanente Medical Group

9.1 mi

Internal Medicine

3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305

Reassigned Medicare billing, Georgia enrollment
1,389 clinicians in this Medicare group

NPI 1245266956 (404) 364-3821

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

U-FIRST HEALTHCARE LLC

Nurse Practitioner (Psychiatric/Mental Health)

4228 1ST AVE STE 1
TUCKER, GA 30084

Dekalb County (833) 583-4778

HOWGANICS, LLC

Internal Medicine (Geriatric Medicine)

4228 1ST AVE STE 1
TUCKER, GA 30084

Dekalb County (888) 794-1441

NATIONAL HEALTHCARE CENTER LLC

Clinical Medical Laboratory

4228 1ST AVE STE 1
TUCKER, GA 30084

Dekalb County (770) 318-0476

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorothy Delisfort-crisostomo's NPI number?

The NPI number for Dorothy Delisfort-crisostomo is 1013450816. It was assigned to this individual provider in the NPPES registry on November 28, 2016. The provider is also known as Dorothy Delisfort.

Where is Dorothy Delisfort-crisostomo located?

Dorothy Delisfort-crisostomo practices at 4228 1st Ave Ste 1, Tucker, GA 30084. The listed phone number is (833) 583-4778.

What is Dorothy Delisfort-crisostomo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dorothy Delisfort-crisostomo enrolled in Medicare?

Yes. Dorothy Delisfort-crisostomo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dorothy Delisfort-crisostomo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dorothy Delisfort-crisostomo reassigns Medicare benefits to 2 organizations: U-First Healthcare LLC (Tucker, GA) and The Southeast Permanente Medical Group (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dorothy Delisfort-crisostomo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dorothy Delisfort-crisostomo accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health, Providence Health Plan and UnitedHealthcare list Dorothy Delisfort-crisostomo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dorothy Delisfort-crisostomo was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.