JEREMIAH J KROEKER BC-PMHNP
NPI 1669182812
Nurse Practitioner - Psychiatric/Mental Health in Victorville, CA

Q: 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.

Q: 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.

Q: 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.

Active since November 29, 2022PECOS EnrolledAccepts Medicare Assignment

15434 W SAGE ST, VICTORVILLE, CA 92392(760) 843-0506 Get Directions Write a Review

NPPES record last updated: June 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2023, Nov 29, 2022 (2 updates tracked since 2022).

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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

NPI1669182812

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJEREMIAH J KROEKERCredential: BC-PMHNP

Location Address15434 W SAGE STVictorville, CA 92392-9751

Mailing Address522 San Jacinto StRedlands, CA 92373-5751 · (909) 553-5776

Phone(760) 843-0506

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 29, 2022

Last NPPES UpdateJune 10, 20232 updates tracked since enumeration

NPPES CertifiedJune 8, 2023

✔ NPI 1669182812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95022927

15434 W SAGE ST, Victorville, CA 92392

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Secondary Practice Location 1

Location 114344 Cajon Ave Ste 102Victorville, CA 92392-4301 · Phone (760) 843-0506

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

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.

PECOS PAC ID7911366505

PECOS Enrollment IDI20230629001865

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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

934 services194 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

217 services193 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

92 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

88 services27 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

20 services20 patients

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.

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 7

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

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