Individual provider Active NPI

Kristi Lebesco, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dana Point, CA
National Provider Identifier
1386279172
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95020751 Issued in CA
Practice address
33971 Selva Rd
Dana Point, CA 92629-3788
Phone
(949) 503-3851
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 95044749 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95020751 CA Primary

Addresses

Primary practice location

33971 Selva Rd
Dana Point, CA 92629-3788

Mailing address

33971 Selva Rd
Dana Point, CA 92629-3788
Phone (949) 503-3851

Other practice location 1

16200 Sand Canyon Ave
Irvine, CA 92618-3714
Phone (949) 517-3010

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Kristi.Lebesco@hoag.org Direct
Direct Messaging Address Kristi.Lebesco@hoag.org Direct
Direct Messaging Address Kristi.Lebesco@hoag.org Direct
Direct Messaging Address Kristi.Lebesco@hoag.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013003154 CA Practitioner - Nurse Practitioner 4880060961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progeny Psychiatric Clinic a Medical CorporationGroup PAC ID 4688904592, 33 clinicians

Practice addresses (Care Compare)

33971 Selva Rd
Suite 150
Dana Point, CA 92629-3735
Phone (949) 722-7118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95044749CAMDEmergency Registered Nurse
95020751CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Progeny TMS Corporation CurrentSince Jun 12, 2024 Accepting new patients

Locations

17782 Cowan
Ste D
Irvine, CA 92614
Phone (949) 748-1531

17782 Cowan
Ste A
Irvine, CA 92614

14501 Magnolia St
Ste 104
Westminster, CA 92683
Phone (714) 891-0080

Interoperability endpoints

  • Direct secure messaging: kristi.lebesco@hoag.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1386279172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33971 SELVA RD",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293788",
            "telephone_number": "949-503-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33971 SELVA RD",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293788",
            "telephone_number": "949-503-3851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16200 Sand Canyon Ave",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183714",
            "country_code": "US",
            "telephone_number": "949-517-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBESCO",
        "first_name": "KRISTI",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "95044749",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kristi.Lebesco@hoag.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16200 Sand Canyon Ave",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926183714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kristi.Lebesco@hoag.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16200 Sand Canyon Ave",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926183714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kristi.Lebesco@hoag.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16200 Sand Canyon Ave",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926183714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kristi.Lebesco@hoag.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16200 Sand Canyon Ave",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926183714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

Verify at the official NPI Registry.