JON JOSEPH CISNEROS PSY.D.
NPI 1699244509
Psychologist - Clinical in Corvallis, OR

Q: What is Jon Cisneros's NPI number?

The NPI number for Jon Cisneros is 1699244509. It was assigned to this individual provider in the NPPES registry on November 20, 2018.

Q: What is Jon Cisneros's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jon Cisneros was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 20, 2018PECOS Enrolled

151 NW MONROE AVE STE 103, CORVALLIS, OR 97330(541) 517-4542 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 11, 2021, Oct 9, 2020, Nov 20, 2018 (3 updates tracked since 2018).

On this page

About Jon Joseph Cisneros Psy.d. NPPES

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

JON JOSEPH CISNEROS PSY.D. (NPI 1699244509) is an individual clinical provider in Corvallis, Oregon, licensed in Oregon (3354) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Honolulu.

NPPES Registry Identity

NPI1699244509

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJON JOSEPH CISNEROSCredential: PSY.D.

Location Address151 NW MONROE AVE STE 103Corvallis, OR 97330-4708

Mailing Address151 Nw Monroe Ave Ste 103Corvallis, OR 97330-4708 · (541) 517-4542

Phone(541) 517-4542

Sole ProprietorYes

Enumeration DateNovember 20, 2018

Last NPPES UpdateOctober 14, 20253 updates tracked since enumeration

NPPES CertifiedOctober 14, 2025

✔ NPI 1699244509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in OR · 3354✔ Licensed in HI · PSY-1825

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

151 NW MONROE AVE STE 103, Corvallis, OR 97330

Open in Google Maps ↗

Secondary Practice Location 1

Location 11441 Kapiolani Blvd Ste 1802Honolulu, HI 96814-4408 · Phone (808) 525-6255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon Joseph Cisneros Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jon Cisneros reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Corvallis Clinic P C

2.5 mi

Multi-Specialty

444 NW ELKS DR
Corvallis, OR 97330

Reassigned Medicare billing, Oregon enrollment
162 clinicians in this Medicare group

NPI 1649227265 (541) 754-1150

I Ola Lahui Inc

2,540 mi

Clinical

677 ALA MOANA BLVD, SUITE 904
Honolulu, HI 96813

Reassigned Medicare billing, Hawaii enrollment
14 clinicians in this Medicare group

NPI 1194967224 (808) 525-6255

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 97330 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

$166.64 typical visit price

range $54.96 – $166.64

Typical copayment $41.66 (range $13.74 – $41.66)

Most-billed visit code 99205

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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 Jon Cisneros's NPI number?

The NPI number for Jon Cisneros is 1699244509. It was assigned to this individual provider in the NPPES registry on November 20, 2018.

Where is Jon Cisneros located?

Jon Cisneros practices at 151 NW Monroe Ave Ste 103, Corvallis, OR 97330. The listed phone number is (541) 517-4542.

What is Jon Cisneros's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jon Cisneros enrolled in Medicare?

Yes. Jon Cisneros is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jon Cisneros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Cisneros reassigns Medicare benefits to 2 organizations: The Corvallis Clinic P C (Corvallis, OR) and I Ola Lahui Inc (Honolulu, HI). 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 Jon Cisneros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Cisneros accept?

Health plans from Moda Health Plan, Inc. list Jon Cisneros as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jon Cisneros was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.