ANA JASMIN PERDOMO
NPI 1972229854
Nurse Practitioner - Family in Marysville, CA

Q: 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.

Q: What is Ana Perdomo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 16 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 October 13, 2022PECOS Enrolled

5730 PACKARD AVE STE 500, MARYSVILLE, CA 95901(916) 953-8566 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Mar 27, 2023, Mar 3, 2023 and 1 more (4 updates tracked since 2022).

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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

NPI1972229854

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANA JASMIN PERDOMO

Location Address5730 PACKARD AVE STE 500Marysville, CA 95901-7119

Mailing Address5730 Packard Ave Ste 500Linda, CA 95901-7119 · (916) 953-8566

Phone(916) 953-8566

Sole ProprietorYes

Enumeration DateOctober 13, 2022

Last NPPES UpdateMarch 27, 20254 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1972229854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95022990

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95022990 (CA)

5730 PACKARD AVE STE 500, Marysville, CA 95901

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ana Jasmin Perdomo 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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

22 services15 patients

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.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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Other Providers at the Same Location NPPES 19

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

MRS. FONDA KAY SHAW FNP/CNM

Nurse Practitioner