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JENNIFER N RUGALA PERSICONE LCSW
NPI 1205104551
Social Worker - Clinical in Hemet, CA

Active since December 01, 2011PECOS EnrolledAccepts Medicare Assignment
1300 W FLORIDA AVE STE C, HEMET, CA 92543(951) 765-0033 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer N Rugala Persicone Lcsw NPPES

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

JENNIFER N RUGALA PERSICONE LCSW (NPI 1205104551) is an individual clinical provider in Hemet, California, licensed in California (LCS 25768) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1205104551
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER N RUGALA PERSICONECredential: LCSW
Location Address1300 W FLORIDA AVE STE CHemet, CA 92543-4628
Mailing Address1010 Lyra WayBeaumont, CA 92223-2079
Phone(951) 765-0033
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 1, 2011
Last NPPES UpdateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1205104551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS 25768
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1300 W FLORIDA AVE STE C, Hemet, CA 92543
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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

Jennifer N Rugala Persicone Lcsw 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 ID3779861299
PECOS Enrollment IDI20161103000130
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 Reassignment

Medicare enrollment records show Jennifer Rugala Persicone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Moon Senior Counseling Of California LLC
1,658 mi
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, California enrollment
  • 117 clinicians in this Medicare group
NPI 1447678990 (855) 241-7160

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 92543 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
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUAN ANTONIO JUAREZ AMFT
Counselor (Mental Health)
1300 W FLORIDA AVE STE C
HEMET, CA 92543
Riverside County (951) 765-0633
SERENITY AND SOLUTIONS FAMILY COUNSELING CENTER PROF CORP
Counselor (Mental Health)
1300 W FLORIDA AVE STE C
HEMET, CA 92543
Riverside County (951) 765-0033

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 Jennifer Rugala Persicone's NPI number?

The NPI number for Jennifer Rugala Persicone is 1205104551. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Where is Jennifer Rugala Persicone located?

Jennifer Rugala Persicone practices at 1300 W Florida Ave Ste C, Hemet, CA 92543. The listed phone number is (951) 765-0033.

What is Jennifer Rugala Persicone's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jennifer Rugala Persicone enrolled in Medicare?

Yes. Jennifer Rugala Persicone 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 Jennifer Rugala Persicone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Rugala Persicone reassigns Medicare benefits to Blue Moon Senior Counseling Of California LLC (Plainfield, IL). 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 Jennifer Rugala Persicone'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 Jennifer Rugala Persicone was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.