JEREMIAH J KROEKER BC-PMHNP
NPI 1669182812
Nurse Practitioner - Psychiatric/Mental Health in Victorville, CA
About Jeremiah J Kroeker Bc-pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMIAH J KROEKER BC-PMHNP (NPI 1669182812) is an individual psychiatric/mental health provider in Victorville, California, licensed in California (95022927) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Victorville, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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
Jeremiah J Kroeker Bc-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.
Medicare Billing Reassignments
2Medicare enrollment records show Jeremiah Kroeker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Victorville, CA 92395
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Hesperia, CA 92345
- Reassigned Medicare billing, California enrollment
- 194 clinicians in this Medicare group
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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92392 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VICTORVILLE, CA 92392
VICTORVILLE, CA 92392
VICTORVILLE, CA 92392
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 Jeremiah Kroeker's NPI number?
The NPI number for Jeremiah Kroeker is 1669182812. It was assigned to this individual provider in the NPPES registry on November 29, 2022.
Where is Jeremiah Kroeker located?
Jeremiah Kroeker practices at 15434 W Sage St, Victorville, CA 92392. The listed phone number is (760) 843-0506.
What is Jeremiah Kroeker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jeremiah Kroeker enrolled in Medicare?
Yes. Jeremiah Kroeker 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 organizations bill Medicare for Jeremiah Kroeker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremiah Kroeker reassigns Medicare benefits to 2 organizations: Foothill Behavioral Health Consultants Inc (Victorville, CA) and Inland Psychiatric Medical Group, Inc. (Hesperia, CA). Each 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 Jeremiah Kroeker'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 Jeremiah Kroeker was last updated on June 10, 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.
# Jeremiah J Kroeker, BC-PMHNP · NPI 1669182812
Psychiatric/Mental Health physician in Victorville, California. Individual provider, active in the CMS NPPES registry since November 29, 2022.
## Identity
- **NPI:** 1669182812 (Entity type: Individual)
- **Enumerated:** November 29, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95022927 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15434 W SAGE ST, Victorville, CA 92392-9751
- **Phone:** (760) 843-0506
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Foothill Behavioral Health Consultants Inc (NPI 1265443154, Victorville, CA); Inland Psychiatric Medical Group, Inc. (NPI 1588091169, Hesperia, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669182812) · Data from the CMS NPPES public registry.