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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANNA JADWIGA HADILAKSONO NP
NPI 1922582832
Nurse Practitioner - Psychiatric/Mental Health in Pismo Beach, CA

Active since September 18, 2018PECOS Enrolled
74.58/100
CMS Quality Rating
128 LA COLIMA, PISMO BEACH, CA 93449(805) 608-5310(805) 254-0128 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 8, 2026, Jul 21, 2026, Sep 18, 2018 (3 updates tracked since 2018).

About Anna Jadwiga Hadilaksono Np NPPES

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

ANNA JADWIGA HADILAKSONO NP (NPI 1922582832) is an individual psychiatric/mental health provider in Pismo Beach, California, licensed in California (95010045) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922582832
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANNA JADWIGA HADILAKSONOCredential: NP
Location Address128 LA COLIMAPismo Beach, CA 93449-2841
Mailing Address128 La ColimaPismo Beach, CA 93449-2841 · (805) 608-5310 · Fax (805) 254-0128
Phone(805) 608-5310
Fax(805) 254-0128
Sole ProprietorNo
Enumeration DateSeptember 18, 2018
Last NPPES UpdateSeptember 8, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1922582832 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 · 95010045
128 LA COLIMA, Pismo Beach, CA 93449
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Jadwiga Hadilaksono Np 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.

Areas of Expertise CMS Part B claims

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.

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.
39 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93449 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.35
Promoting Interoperability94
Improvement Activities40
Cost30.26

Other Providers at the Same Location NPPES

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

COASTAL PSYCHIATRY CARE PROFESSIONAL NURSING CORP
Nurse Practitioner (Psychiatric/Mental Health)
128 LA COLIMA
PISMO BEACH, CA 93449
San Luis Obispo County (805) 608-5310

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 Anna Hadilaksono's NPI number?

The NPI number for Anna Hadilaksono is 1922582832. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Anna Hadilaksono located?

Anna Hadilaksono practices at 128 La Colima, Pismo Beach, CA 93449. The listed phone number is (805) 608-5310.

What is Anna Hadilaksono's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Anna Hadilaksono enrolled in Medicare?

Yes. Anna Hadilaksono is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anna Hadilaksono was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.