JONATHAN KISTLER M.D.
NPI 1033161740
Psychiatry & Neurology - Psychiatry in Modesto, CA

Q: What is Jonathan Kistler's NPI number?

The NPI number for Jonathan Kistler is 1033161740. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Jonathan Kistler's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Kistler was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment

1001 NEEDHAM ST, MODESTO, CA 95354(209) 569-0373(209) 529-8519 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2023, May 2, 2019 (2 updates tracked since 2019).

On this page

About Jonathan Kistler M.d. NPPES

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

JONATHAN KISTLER M.D. (NPI 1033161740) is an individual psychiatry provider in Modesto, California, licensed in California (A73938) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1999).

NPPES Registry Identity

NPI1033161740

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJONATHAN KISTLERCredential: M.D.

Location Address1001 NEEDHAM STModesto, CA 95354-0730

Mailing Address1001 Needham StModesto, CA 95354-0730 · (209) 569-0373 · Fax (209) 529-8519

Phone(209) 569-0373

Fax(209) 529-8519

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1999

Enumeration DateMay 17, 2006

Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration

NPPES CertifiedNovember 6, 2023

✔ NPI 1033161740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A73938

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1001 NEEDHAM ST, Modesto, CA 95354

Open in Google Maps ↗

Other Identifiers 1

OtherA73938CA · Medical License

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

Jonathan Kistler M.d. 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 ID7214980424

PECOS Enrollment IDI20050228001070

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 Jonathan Kistler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Stanislaus

Same address

Community/Behavioral Health

1001 NEEDHAM ST
Modesto, CA 95354

Reassigned Medicare billing, California enrollment
Also billed through NPI 1457480642 (California), NPI 1578691903 (California)
38 clinicians in this Medicare group

NPI 1902765993 (209) 209-5690

Traditions Psychiatry Group, P.C

111 mi

Psychiatry

1287 FULTON RD
Santa Rosa, CA 95401

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Traditions Psychiatry Group PC
98 clinicians in this Medicare group

NPI 1083802979 (707) 258-8757

Community Research Foundation Inc

399 mi

Community/Behavioral Health

1202 MORENA BLVD STE 100
San Diego, CA 92110

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

NPI 1952328700 (619) 275-0822

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

244 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95354 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

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

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.

TAYLOR ELIZABETH BARRETT

Counselor (Professional)