JOLIE NGO CRNA
NPI 1063879583
Nurse Anesthetist, Certified Registered in San Diego, CA
About Jolie Ngo Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOLIE NGO CRNA (NPI 1063879583) is an individual nurse anesthetist, certified registered in San Diego, California, licensed in California (NA95000830) and active in the NPI registry since January 2016. She maintains 5 additional practice locations and is a graduate of Oakland College Of Medicine And Surgery (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Accepted Insurance
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
Jolie Ngo Crna 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 Jolie Ngo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1265535702 (California)
- 251 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 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.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Jolie Ngo's NPI number?
The NPI number for Jolie Ngo is 1063879583. It was assigned to this individual provider in the NPPES registry on January 28, 2016.
Where is Jolie Ngo located?
Jolie Ngo practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.
What is Jolie Ngo's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jolie Ngo enrolled in Medicare?
Yes. Jolie Ngo 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 Jolie Ngo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jolie Ngo reassigns Medicare benefits to Regents Of The University Of California (San Diego, 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 Jolie Ngo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jolie Ngo accept?
Health plans from CareSource list Jolie Ngo 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 Jolie Ngo was last updated on February 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jolie Ngo, CRNA · NPI 1063879583
Nurse Anesthetist, Certified Registered physician in San Diego, California. Individual provider, active in the CMS NPPES registry since January 28, 2016.
## Identity
- **NPI:** 1063879583 (Entity type: Individual)
- **Enumerated:** January 28, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** NA95000830 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W ARBOR DR, San Diego, CA 92103-9000
- **Phone:** (800) 926-8273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Regents Of The University Of California (NPI 1356444897, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oakland College Of Medicine And Surgery, class of 2015
## Record status
- **NPPES last updated:** February 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063879583) · Data from the CMS NPPES public registry.