KRYSTAL AMANDA VELASCO HERNANDEZ PMHNP
NPI 1023983574
Nurse Practitioner - Psychiatric/Mental Health in Riverside, CA

Q: What is Krystal Velasco Hernandez's NPI number?

The NPI number for Krystal Velasco Hernandez is 1023983574. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Q: What is Krystal Velasco Hernandez's specialty?

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

Active since October 06, 2025PECOS EnrolledAccepts Medicare Assignment

4361 LATHAM ST STE 220, RIVERSIDE, CA 92501(858) 279-1223 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2026, Dec 2, 2025, Oct 6, 2025 (3 updates tracked since 2025).

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About Krystal Amanda Velasco Hernandez Pmhnp NPPES

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

KRYSTAL AMANDA VELASCO HERNANDEZ PMHNP (NPI 1023983574) is an individual psychiatric/mental health provider in Riverside, California, licensed in California (95037330) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Cucamonga, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023983574

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKRYSTAL AMANDA VELASCO HERNANDEZCredential: PMHNP

Location Address4361 LATHAM ST STE 220Riverside, CA 92501-1767

Mailing Address4361 Latham St Ste 220Riverside, CA 92501-1767 · (858) 279-1223

Phone(858) 279-1223

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 6, 2025

Last NPPES UpdateMay 20, 20263 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1023983574 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 CA · 95037330

Also ListedRegistered NurseTaxonomy 163W00000X · License 95190746 (CA)

4361 LATHAM ST STE 220, Riverside, CA 92501

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Secondary Practice Location 1

Location 18300 Utica Ave Ste 310Rancho Cucamonga, CA 91730-3852 · Phone (909) 906-1505

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krystal Amanda Velasco Hernandez Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911478045

PECOS Enrollment IDI20260609002343

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 Reassignment

Medicare enrollment records show Krystal Velasco Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc

315 mi

Clinical

7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253

Reassigned Medicare billing, California enrollment
766 clinicians in this Medicare group

NPI 1023125465 (702) 805-5360

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 92501 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 20

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

MARY LUKENS WYMAN LCSW

Social Worker (Clinical)