RON CHRISTIAN CHENG CRISOSTOMO
NPI 1194454900
Nurse Practitioner in Elk Grove, CA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Ron Christian Crisostomo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Andreas, CA 95249
- Reassigned Medicare billing, California enrollment
- 40 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.
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.
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.
Which organization bills Medicare for Ron Christian Crisostomo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ron Christian Crisostomo reassigns Medicare benefits to Mark Twain Medical Center (San Andreas, CA). The 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 Ron Christian Crisostomo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Ron Christian Cheng Crisostomo · NPI 1194454900
Nurse Practitioner physician in Elk Grove, California. Individual provider, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1194454900 (Entity type: Individual)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95020601 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9306 BENNOEL CT, Elk Grove, CA 95758-7620
- **Phone:** (501) 838-9179
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mark Twain Medical Center (NPI 1508968819, San Andreas, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194454900) · Data from the CMS NPPES public registry.