HAZEL CAPUTOL LEDESMA
NPI 1437712627
Nurse Practitioner - Family in San Bernardino, CA

Q: What is Hazel Ledesma's NPI number?

The NPI number for Hazel Ledesma is 1437712627. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Q: What is Hazel Ledesma's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hazel Ledesma was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment

1292 W MILL ST, SAN BERNARDINO, CA 92410(909) 253-0841 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 21, 2022, Apr 15, 2019 (2 updates tracked since 2019).

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About Hazel Caputol Ledesma NPPES

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

HAZEL CAPUTOL LEDESMA (NPI 1437712627) is an individual family provider in San Bernardino, California, licensed in California (F12180510) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1437712627

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHAZEL CAPUTOL LEDESMA

Location Address1292 W MILL STSan Bernardino, CA 92410-2551

Mailing Address1292 W Mill StSan Bernardino, CA 92410-2551 · (909) 253-0841

Phone(909) 253-0841

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 15, 2019

Last NPPES UpdateNovember 21, 20222 updates tracked since enumeration

✔ NPI 1437712627 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 · F12180510

1292 W MILL ST, San Bernardino, CA 92410

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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

Hazel Caputol Ledesma 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 ID8921479981

PECOS Enrollment IDI20230130002239

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 92410 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 3

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

AGNES B KINTANAR M.D.

General Practice

1292 W MILL ST, SUITE 105
SAN BERNARDINO, CA 92410

San Bernardino County (909) 383-9440

ANDREW CALEB TOWNLEY FNP-C

Nurse Practitioner (Family)

1292 W MILL ST
SAN BERNARDINO, CA 92410

San Bernardino County (909) 253-0841

MILL MEDICAL CLINIC INC

Clinic/Center (Primary Care)

1292 W MILL ST, SUITE 105
SAN BERNARDINO, CA 92410

San Bernardino County (909) 383-9440

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 Hazel Ledesma's NPI number?

The NPI number for Hazel Ledesma is 1437712627. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Hazel Ledesma located?

Hazel Ledesma practices at 1292 W Mill St, San Bernardino, CA 92410. The listed phone number is (909) 253-0841.

What is Hazel Ledesma's specialty?

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

Is Hazel Ledesma enrolled in Medicare?

Yes. Hazel Ledesma 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.

When was this NPI record last updated?

The NPPES record for Hazel Ledesma was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.