CRISTINA PRUETT
NPI 1205319290
Physician Assistant in Palo Alto, CA

Q: What is Cristina Pruett's NPI number?

The NPI number for Cristina Pruett is 1205319290. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Q: What is Cristina Pruett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Cristina Pruett was last updated on January 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 14, 2018PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 22, 2020, Sep 14, 2018 (2 updates tracked since 2018).

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About Cristina Pruett NPPES

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

CRISTINA PRUETT (NPI 1205319290) is an individual physician assistant in Palo Alto, California, licensed in California (56017) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205319290

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCRISTINA PRUETT

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateSeptember 14, 2018

Last NPPES UpdateJanuary 22, 20202 updates tracked since enumeration

✔ NPI 1205319290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 56017

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

725 WELCH RD, Palo Alto, CA 94304

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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 (PECOS)

Cristina Pruett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94304 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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.

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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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)