JUSTENE ANN ILOG PMHNP
NPI 1598451445
Nurse Practitioner - Psychiatric/Mental Health in Vista, CA

Active since April 13, 2023PECOS EnrolledAccepts Medicare Assignment
550 W VISTA WAY STE 103, VISTA, CA 92083(760) 295-8727 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 22, 2023, Apr 13, 2023 (2 updates tracked since 2023).

About Justene Ann Ilog Pmhnp NPPES

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

JUSTENE ANN ILOG PMHNP (NPI 1598451445) is an individual psychiatric/mental health provider in Vista, California, licensed in California (95025318) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1598451445
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJUSTENE ANN ILOGCredential: PMHNP
Location Address550 W VISTA WAY STE 103Vista, CA 92083-5735
Mailing Address3927 Mesa Dr Apt 105Oceanside, CA 92056-2624 · (951) 768-0182
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 13, 2023
Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1598451445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95025318
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95219111 (CA)
550 W VISTA WAY STE 103, Vista, CA 92083

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

Justene Ann Ilog Pmhnp 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 ID3173057783
PECOS Enrollment IDI20241105001735
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 92083 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Psychiatry & Neurology (Addiction Medicine)
550 W VISTA WAY STE 103
VISTA, CA 92083
Psychiatry & Neurology (Addiction Medicine)
550 W VISTA WAY STE 103
VISTA, CA 92083
Psychiatry & Neurology (Addiction Psychiatry)
550 W VISTA WAY STE 103
VISTA, CA 92083

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 Justene Ilog's NPI number?

The NPI number for Justene Ilog is 1598451445. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Justene Ilog located?

Justene Ilog practices at 550 W Vista Way Ste 103, Vista, CA 92083. The listed phone number is (760) 295-8727.

What is Justene Ilog's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Justene Ilog enrolled in Medicare?

Yes. Justene Ilog 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 Justene Ilog was last updated on August 22, 2023. 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.