KRYSTLE CORDOVA GADRINAB-JONES MD
NPI 1417219437
Family Medicine in Aurora, IL

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1222 N EOLA RD STE D, AURORA, IL 60502(630) 646-6250 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2021, Aug 27, 2018, Apr 28, 2017 (3 updates tracked since 2017).

About Krystle Cordova Gadrinab-jones Md NPPES

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

KRYSTLE CORDOVA GADRINAB-JONES MD (NPI 1417219437) is an individual family medicine provider in Aurora, Illinois, licensed in Illinois (036135982) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1417219437
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRYSTLE CORDOVA GADRINAB-JONESCredential: MD
Location Address1222 N EOLA RD STE DAurora, IL 60502
Mailing Address1222 N Eola Rd Ste DAurora, IL 60502-9505 · (630) 646-6250
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 14, 2012
Last NPPES UpdateJanuary 25, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
NPI 1417219437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036135982
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1222 N EOLA RD STE D, Aurora, IL 60502

Accepted Insurance

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

Krystle Cordova Gadrinab-jones Md 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 ID143448340
PECOS Enrollment IDI20150708001436
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
119 services55 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60502 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

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 Krystle Gadrinab-jones's NPI number?

The NPI number for Krystle Gadrinab-jones is 1417219437. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Krystle Gadrinab-jones located?

Krystle Gadrinab-jones practices at 1222 N Eola Rd Ste D, Aurora, IL 60502. The listed phone number is (630) 646-6250.

What is Krystle Gadrinab-jones's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Krystle Gadrinab-jones enrolled in Medicare?

Yes. Krystle Gadrinab-jones 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.

What insurance does Krystle Gadrinab-jones accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Krystle Gadrinab-jones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Krystle Gadrinab-jones affiliated with any hospitals?

According to CMS data, Krystle Gadrinab-jones is affiliated with Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Krystle Gadrinab-jones was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.