JERRYPER COLEGADO
NPI 1063674307
Nurse Practitioner - Acute Care in Loma Linda, CA
About Jerryper Colegado NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRYPER COLEGADO (NPI 1063674307) is an individual acute care provider in Loma Linda, California, licensed in California (16076) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
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
Jerryper Colegado 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.
Medicare Billing Reassignment
Medicare enrollment records show Jerryper Colegado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Loma Linda, CA 92354
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
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 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Jerryper Colegado's NPI number?
The NPI number for Jerryper Colegado is 1063674307. It was assigned to this individual provider in the NPPES registry on June 27, 2008.
Where is Jerryper Colegado located?
Jerryper Colegado practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-8514.
What is Jerryper Colegado's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jerryper Colegado enrolled in Medicare?
Yes. Jerryper Colegado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jerryper Colegado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerryper Colegado reassigns Medicare benefits to Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA). The 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 Jerryper Colegado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jerryper Colegado was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jerryper Colegado · NPI 1063674307
Acute Care physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since June 27, 2008.
## Identity
- **NPI:** 1063674307 (Entity type: Individual)
- **Enumerated:** June 27, 2008
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 16076 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-8514
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Faculty Physicians And Surgeons Of Llusm (NPI 1245605781, Loma Linda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** June 27, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1063674307) · Data from the CMS NPPES public registry.