DR. KARIN CECILIA ULLTJAERN DNP, RN, PMHNP-BC
NPI 1104467190
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA

Q: What is Karin Cecilia Ulltjaern's NPI number?

The NPI number for Karin Cecilia Ulltjaern is 1104467190. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Q: What is Karin Cecilia Ulltjaern's specialty?

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

Active since October 01, 2019PECOS Enrolled

85.18/100

CMS Quality Rating

250 S G ST, SAN BERNARDINO, CA 92410(909) 382-7100 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Karin Cecilia Ulltjaern Dnp, Rn, Pmhnp-bc NPPES

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

DR. KARIN CECILIA ULLTJAERN DNP, RN, PMHNP-BC (NPI 1104467190) is an individual psychiatric/mental health provider in San Bernardino, California, licensed in California (95012710) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104467190

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. KARIN CECILIA ULLTJAERNCredential: DNP, RN, PMHNP-BC

Location Address250 S G STSan Bernardino, CA 92410-3320

Mailing Address1498 Brookside Ave Apt 114Redlands, CA 92373-4448 · (360) 890-9165

Phone(909) 382-7100

Sole ProprietorNo

Enumeration DateOctober 1, 2019

✔ NPI 1104467190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95012710

250 S G ST, San Bernardino, CA 92410

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Karin Cecilia Ulltjaern Dnp, Rn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92410 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.81

Promoting Interoperability

Improvement Activities

Cost

64.54

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.

ROBERT WILLIAM WATROUS MD

Family Medicine (Addiction Medicine)