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RON CHRISTIAN CHENG CRISOSTOMO
NPI 1194454900
Nurse Practitioner in Elk Grove, CA

Active since June 07, 2022PECOS EnrolledAccepts Medicare Assignment
9306 BENNOEL CT, ELK GROVE, CA 95758(501) 838-9179 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ron Christian Cheng Crisostomo NPPES

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

RON CHRISTIAN CHENG CRISOSTOMO (NPI 1194454900) is an individual nurse practitioner in Elk Grove, California, licensed in California (95020601) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194454900
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRON CHRISTIAN CHENG CRISOSTOMO
Location Address9306 BENNOEL CTElk Grove, CA 95758-7620
Mailing Address9306 Bennoel CtElk Grove, CA 95758-7620
Phone(501) 838-9179
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1194454900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95020601
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
9306 BENNOEL CT, Elk Grove, CA 95758
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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 and accepts Medicare assignment

Ron Christian Cheng Crisostomo 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 ID9931585452
PECOS Enrollment IDI20221005003697
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 95758 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Ron Christian Crisostomo's NPI number?

The NPI number for Ron Christian Crisostomo is 1194454900. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Ron Christian Crisostomo located?

Ron Christian Crisostomo practices at 9306 Bennoel Ct, Elk Grove, CA 95758. The listed phone number is (501) 838-9179.

What is Ron Christian Crisostomo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ron Christian Crisostomo enrolled in Medicare?

Yes. Ron Christian Crisostomo 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 Ron Christian Crisostomo was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.