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MICHELE CROSMER RD
NPI 1699133090
Dietitian, Registered in Upland, CA

Active since February 01, 2016Opted out of Medicare · through Apr 1, 2027
123 E 9TH ST, STE 320, UPLAND, CA 91786(909) 912-4060(888) 974-4248 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 1, 2017, Feb 1, 2016 (3 updates tracked since 2016).

About Michele Crosmer Rd NPPES

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

MICHELE CROSMER RD (NPI 1699133090) is an individual dietitian, registered in Upland, California, licensed in California (86014375) and active in the NPI registry since February 2016. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1699133090
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMICHELE CROSMERCredential: RD
Location Address123 E 9TH ST, STE 320Upland, CA 91786-6023
Mailing Address8431 Hawthorne StAlta Loma, CA 91701-4544 · (909) 912-4060
Phone(909) 912-4060
Fax(888) 974-4248
Sole ProprietorYes
Enumeration DateFebruary 1, 2016
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1699133090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 86014375
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
123 E 9TH ST, Upland, CA 91786
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michele Crosmer Rd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

TILLIE RENEE REITSMA LMFT
Marriage & Family Therapist
123 E 9TH ST, STE. 100C
UPLAND, CA 91786
San Bernardino County (951) 532-8333

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 Michele Crosmer's NPI number?

The NPI number for Michele Crosmer is 1699133090. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Michele Crosmer located?

Michele Crosmer practices at 123 E 9th St Ste 320, Upland, CA 91786. The listed phone number is (909) 912-4060.

What is Michele Crosmer's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Michele Crosmer enrolled in Medicare?

No. Michele Crosmer has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michele Crosmer was last updated on July 21, 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.