ANGELIKA DESIMONE
NPI 1609415728
Nurse Practitioner - Family in Santa Cruz, CA

Q: What is Angelika Desimone's NPI number?

The NPI number for Angelika Desimone is 1609415728. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Q: What is Angelika Desimone'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 Angelika Desimone was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 06, 2020PECOS EnrolledAccepts Medicare Assignment

2907 CHANTICLEER AVE, SANTA CRUZ, CA 95065(831) 423-4111 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2020, Jan 6, 2020 (2 updates tracked since 2020).

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About Angelika Desimone NPPES

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

ANGELIKA DESIMONE (NPI 1609415728) is an individual family provider in Santa Cruz, California, licensed in California (95013470) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609415728

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANGELIKA DESIMONE

Location Address2907 CHANTICLEER AVESanta Cruz, CA 95065-1815

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (831) 447-2325

Phone(831) 423-4111

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 6, 2020

Last NPPES UpdateApril 9, 20202 updates tracked since enumeration

NPPES CertifiedApril 9, 2020

✔ NPI 1609415728 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 · 95013470

2907 CHANTICLEER AVE, Santa Cruz, CA 95065

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angelika Desimone 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 ID345677241

PECOS Enrollment IDI20200304002289

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.

Medicare Billing Reassignments

Medicare enrollment records show Angelika Desimone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ventura Orthopedics Medical Group, Inc.

242 mi

Specialist

3525 LOMA VISTA RD STE A
Ventura, CA 93003

Reassigned Medicare billing, California enrollment
73 clinicians in this Medicare group

NPI 1871547315 (805) 641-6415

Ams Wellness

271 mi

Dermatology

23801 CALABASAS RD STE 2023
Calabasas, CA 91302

Reassigned Medicare billing, California enrollment

NPI 1891552642 (619) 316-4735

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

33 services32 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

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 20

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

MRS. ALEXANDRA ROSE LOW CNM, WHNP, IBCLC

Advanced Practice Midwife