SOWMYA KRISHNAN NP
NPI 1164110219
Nurse Practitioner - Gerontology in Costa Mesa, CA

Active since April 26, 2023PECOS EnrolledAccepts Medicare Assignment
3090 BRISTOL ST STE 200, COSTA MESA, CA 92626(888) 789-9585(562) 803-4500 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, May 23, 2023 (2 updates tracked since 2023).

About Sowmya Krishnan Np NPPES

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

SOWMYA KRISHNAN NP (NPI 1164110219) is an individual gerontology provider in Costa Mesa, California, licensed in California (95024829) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164110219
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSOWMYA KRISHNANCredential: NP
Location Address3090 BRISTOL ST STE 200Costa Mesa, CA 92626-3061
Mailing Address3090 Bristol St Ste 200Costa Mesa, CA 92626-3061 · (888) 789-9585 · Fax (562) 803-4500
Fax(562) 803-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 26, 2023
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1164110219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CA · 95024829
3090 BRISTOL ST STE 200, Costa Mesa, CA 92626

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

Sowmya Krishnan Np 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 ID9234599812
PECOS Enrollment IDI20230713003277
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 92626 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
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Nurse Practitioner
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Family Medicine
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
General Practice
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
General Practice
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Family Medicine
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
General Practice
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626
Family Medicine
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626

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 Sowmya Krishnan's NPI number?

The NPI number for Sowmya Krishnan is 1164110219. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Sowmya Krishnan located?

Sowmya Krishnan practices at 3090 Bristol St Ste 200, Costa Mesa, CA 92626. The listed phone number is (888) 789-9585.

What is Sowmya Krishnan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sowmya Krishnan enrolled in Medicare?

Yes. Sowmya Krishnan 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 Sowmya Krishnan was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.