ANA JASMIN PERDOMO
NPI 1972229854
Nurse Practitioner - Family in Marysville, CA
About Ana Jasmin Perdomo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANA JASMIN PERDOMO (NPI 1972229854) is an individual family provider in Marysville, California, licensed in California (95022990) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ana Jasmin Perdomo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ana Perdomo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 339 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
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 95901 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ana Perdomo's NPI number?
The NPI number for Ana Perdomo is 1972229854. It was assigned to this individual provider in the NPPES registry on October 13, 2022.
Where is Ana Perdomo located?
Ana Perdomo practices at 5730 Packard Ave Ste 500, Marysville, CA 95901. The listed phone number is (916) 953-8566.
What is Ana Perdomo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ana Perdomo enrolled in Medicare?
Yes. Ana Perdomo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ana Perdomo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ana Perdomo reassigns Medicare benefits to Molina Healthcare Of California (Lancaster, CA). The 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 Ana Perdomo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ana Perdomo accept?
Health plans from Providence Health Plan list Ana Perdomo 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 Ana Perdomo was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ana Jasmin Perdomo · NPI 1972229854
Family physician in Marysville, California. Individual provider, active in the CMS NPPES registry since October 13, 2022.
## Identity
- **NPI:** 1972229854 (Entity type: Individual)
- **Enumerated:** October 13, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95022990 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5730 PACKARD AVE STE 500, Marysville, CA 95901-7119
- **Phone:** (916) 953-8566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Molina Healthcare Of California (NPI 1508970955, Lancaster, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972229854) · Data from the CMS NPPES public registry.