MS. DOROTHY DELISFORT-CRISOSTOMO (FNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1013450816
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MS. DOROTHY DELISFORT-CRISOSTOMO (FNP-C)
2400 MT. ZION PARKWAY
KAISER PERMANENTE SOUTHWOOD COMPREHENSION MEDICAL OFFIC
JONESBORO, GA 30236
Phone: (770) 603-3649
Type: Location
4228 1ST AVE STE 1
TUCKER, GA 300844426
Phone: (833) 583-4778
Fax: (833) 583-4779
Type: Location
Piedmont Road Northeast, Buckhead, Atlanta, Fulton County, Georgia, 30305, United States
NINE PIEDMONT CENTER
ATLANTA, GA 30305
Phone: (404) 504-5678
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $604.
Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.
Last reported payment date: 2024-02-15 • Largest payer in this snapshot: Grifols USA, LLC ($136).
Total Amount
$604
General + Research + Ownership
Payments
5
Total payment records
General Amount
$604
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Grifols USA, LLC | $136 |
| SCPHARMACEUTICALS INC. | $126 |
| Teva Pharmaceuticals USA, Inc. | $121 |
| ABBVIE INC. | $112 |
| Neurocrine BioSciences, Inc. | $110 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170623002540 | I | Nurse Practitioner | GA | TBD |
| I20211123000500 | I | Nurse Practitioner | WA | TBD |
| I20230915001229 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30236)
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