ELISABETH HELEN CEDERBLOM FNP
NPI 1144301177
Nurse Practitioner - Family in Venice, CA

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
604 ROSE AVE, VENICE, CA 90291(310) 392-8636 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2021, Aug 22, 2016 (2 updates tracked since 2016).

About Elisabeth Helen Cederblom Fnp NPPES

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

ELISABETH HELEN CEDERBLOM FNP (NPI 1144301177) is an individual family provider in Venice, California, licensed in California (NP15746) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1144301177
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELISABETH HELEN CEDERBLOMCredential: FNP
Location Address604 ROSE AVEVenice, CA 90291-2767
Mailing Address604 Rose AveVenice, CA 90291-2767 · (310) 392-8636
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 17, 2006
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
NPI 1144301177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP15746
604 ROSE AVE, Venice, CA 90291

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elisabeth Helen Cederblom Fnp 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 ID6103986567
PECOS Enrollment IDI20081115000198
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 90291 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

Internal Medicine
604 ROSE AVE
VENICE, CA 90291
Family Medicine (Addiction Medicine)
604 ROSE AVE
VENICE, CA 90291
Psychiatry & Neurology (Psychosomatic Medicine)
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Dentist
604 ROSE AVE
VENICE, CA 90291
Family Medicine
604 ROSE AVE
VENICE, CA 90291
Dietitian, Registered
604 ROSE AVE
VENICE, CA 90291

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 Elisabeth Cederblom's NPI number?

The NPI number for Elisabeth Cederblom is 1144301177. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Elisabeth Cederblom located?

Elisabeth Cederblom practices at 604 Rose Ave, Venice, CA 90291. The listed phone number is (310) 392-8636.

What is Elisabeth Cederblom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elisabeth Cederblom enrolled in Medicare?

Yes. Elisabeth Cederblom 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.

When was this NPI record last updated?

The NPPES record for Elisabeth Cederblom was last updated on February 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.