KRISMA GALACE TOLENTINO
NPI 1174283287
Nurse Practitioner - Acute Care in Orlando, FL

Active since December 30, 2021PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
601 E ROLLINS ST, ORLANDO, FL 32803(407) 303-7283 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Krisma Galace Tolentino NPPES

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

KRISMA GALACE TOLENTINO (NPI 1174283287) is an individual acute care provider in Orlando, Florida, licensed in Florida (11012524) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1174283287
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKRISMA GALACE TOLENTINO
Location Address601 E ROLLINS STOrlando, FL 32803-1248
Mailing Address2501 N Orange Ave Ste 401Orlando, FL 32804-4644
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 30, 2021
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1174283287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · 11012524
601 E ROLLINS ST, Orlando, FL 32803

Secondary Practice Location 1

Location 12526 Lakewood Pointe DrOrlando, FL 32817-2528 · Phone (407) 619-8088

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

Krisma Galace Tolentino 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 ID6709266141
PECOS Enrollment IDI20220701002270
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Krisma Tolentino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
Specialist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 287 clinicians in this Medicare group
Hospitalist
4500 S GARNETT RD, STE 919
Tulsa, OK 74146
  • Reassigned Medicare billing, Texas enrollment
  • 100 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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

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.

Advanced Practice Midwife
601 E ROLLINS ST
ORLANDO, FL 32803
Radiology (Diagnostic Radiology)
601 E ROLLINS ST
ORLANDO, FL 32803
Internal Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Pediatrics (Neonatal-Perinatal Medicine)
601 E ROLLINS ST
ORLANDO, FL 32803
Nurse Anesthetist, Certified Registered
601 E ROLLINS ST
ORLANDO, FL 32803
Emergency Medicine
601 E ROLLINS ST
ORLANDO, FL 32803
Hospitalist
601 E ROLLINS ST
ORLANDO, FL 32803
Pharmacist
601 E ROLLINS ST
ORLANDO, FL 32803

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 Krisma Tolentino's NPI number?

The NPI number for Krisma Tolentino is 1174283287. It was assigned to this individual provider in the NPPES registry on December 30, 2021.

Where is Krisma Tolentino located?

Krisma Tolentino practices at 601 E Rollins St, Orlando, FL 32803. The listed phone number is (407) 303-7283.

What is Krisma Tolentino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Krisma Tolentino enrolled in Medicare?

Yes. Krisma Tolentino 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 organizations bill Medicare for Krisma Tolentino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krisma Tolentino reassigns Medicare benefits to 3 organizations: Florida Hospital Medical Group Inc (Orlando, FL), Intensive Care Consortium Inc (Aventura, FL) and Victoria Hospitalist Associates, LLC (Tulsa, OK). Each 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 Krisma Tolentino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krisma Tolentino accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and Wellpoint list Krisma Tolentino 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.

Is Krisma Tolentino affiliated with any hospitals?

According to CMS data, Krisma Tolentino is affiliated with Adventhealth Orlando and Hca Florida Jfk Hospital.

When was this NPI record last updated?

The NPPES record for Krisma Tolentino was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.