CRISTINA ELIZABET HERMOSILLO PA-C
NPI 1104607738
Physician Assistant - Medical in Kokomo, IN
About Cristina Elizabet Hermosillo Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRISTINA ELIZABET HERMOSILLO PA-C (NPI 1104607738) is an individual medical provider in Kokomo, Indiana, licensed in Indiana (10004249A) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (2023).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cristina Elizabet Hermosillo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Cristina Hermosillo's NPI number?
The NPI number for Cristina Hermosillo is 1104607738. It was assigned to this individual provider in the NPPES registry on October 10, 2023.
Where is Cristina Hermosillo located?
Cristina Hermosillo practices at 3118 S Lafountain St, Kokomo, IN 46902. The listed phone number is (765) 864-4160.
What is Cristina Hermosillo's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Cristina Hermosillo enrolled in Medicare?
Yes. Cristina Hermosillo is registered in the Medicare PECOS enrollment system.
What insurance does Cristina Hermosillo accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Cristina Hermosillo 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 Cristina Hermosillo was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Cristina Elizabet Hermosillo, PA-C · NPI 1104607738
Medical physician in Kokomo, Indiana. Individual provider, active in the CMS NPPES registry since October 10, 2023.
## Identity
- **NPI:** 1104607738 (Entity type: Individual)
- **Enumerated:** October 10, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 10004249A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3118 S LAFOUNTAIN ST, Kokomo, IN 46902-3710
- **Phone:** (765) 864-4160 · **Fax:** (765) 400-4467
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Indiana Medical College, School Of Medicine Of Purdue University, class of 2023
## Record status
- **NPPES last updated:** January 25, 2024
- **Other identifiers:** Medicaid 300085790 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1104607738) · Data from the CMS NPPES public registry.