KRISTINE GRACE LEE DIZON FNP-C
NPI 1336649060
Nurse Practitioner - Family in Covina, CA

Q: What is Kristine Grace Dizon's NPI number?

The NPI number for Kristine Grace Dizon is 1336649060. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Q: What is Kristine Grace Dizon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 19, 2018PECOS EnrolledAccepts Medicare Assignment

110 N 4TH AVE, COVINA, CA 91723(626) 859-6400 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristine Grace Lee Dizon Fnp-c NPPES

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

KRISTINE GRACE LEE DIZON FNP-C (NPI 1336649060) is an individual family provider in Covina, California, licensed in California (NP95007409) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336649060

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTINE GRACE LEE DIZONCredential: FNP-C

Location Address110 N 4TH AVECovina, CA 91723-1825

Mailing Address14896 Oak Leaf DrCorona, CA 92880-1049

Phone(626) 859-6400

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 19, 2018

✔ NPI 1336649060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95007409

110 N 4TH AVE, Covina, CA 91723

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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

Kristine Grace Lee Dizon Fnp-c 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 ID9436495173

PECOS Enrollment IDI20190116003172

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 91723 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 5

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

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