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JENNIFER JARDELEZA CRISOSTOMO NURSE PRACTITIONER
NPI 1659020576
Nurse Practitioner - Family in Los Angeles, CA

Active since March 18, 2022PECOS EnrolledAccepts Medicare Assignment
3333 GLENDALE BLVD STE 3, LOS ANGELES, CA 90039(626) 824-1121 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2024, May 4, 2022 (2 updates tracked since 2022).

About Jennifer Jardeleza Crisostomo Nurse Practitioner NPPES

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

JENNIFER JARDELEZA CRISOSTOMO NURSE PRACTITIONER (NPI 1659020576) is an individual family provider in Los Angeles, California, licensed in California (95019457) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659020576
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER JARDELEZA CRISOSTOMOCredential: NURSE PRACTITIONER
Location Address3333 GLENDALE BLVD STE 3Los Angeles, CA 90039-1840
Mailing Address3333 Glendale Blvd Ste 3Los Angeles, CA 90039-1840 · (626) 824-1121
Phone(626) 824-1121
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 18, 2022
Last NPPES UpdateMay 4, 20222 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
✔ NPI 1659020576 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 · 95019457
3333 GLENDALE BLVD STE 3, Los Angeles, CA 90039
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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

Jennifer Jardeleza Crisostomo Nurse Practitioner 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 ID4082152269
PECOS Enrollment IDI20240819004192
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 Reassignment

Medicare enrollment records show Jennifer Crisostomo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foothill Cardiology Medical Group Inc
6.3 mi
Cardiovascular Disease
625 S FAIR OAKS AVE STE 215
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
NPI 1255382545 (626) 793-4139

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90039 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.

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 Jennifer Crisostomo's NPI number?

The NPI number for Jennifer Crisostomo is 1659020576. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Where is Jennifer Crisostomo located?

Jennifer Crisostomo practices at 3333 Glendale Blvd Ste 3, Los Angeles, CA 90039. The listed phone number is (626) 824-1121.

What is Jennifer Crisostomo's specialty?

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

Is Jennifer Crisostomo enrolled in Medicare?

Yes. Jennifer Crisostomo 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.

Which organization bills Medicare for Jennifer Crisostomo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Crisostomo reassigns Medicare benefits to Foothill Cardiology Medical Group Inc (Pasadena, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Crisostomo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Crisostomo was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.