Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremiah J Kroeker, BC-PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669182812

Jeremiah J Kroeker, BC-PMHNP is a Nurse Practitioner in Victorville, California. Qualified in 2022, 4 years ago. Practices with Foothill Behavioral Health Consultants Inc, an 11-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

15434 W Sage St
Victorville, CA 92392-9751
Phone: (760) 843-0506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14344 Cajon Ave Ste 102, Victorville, CA 92392-4301 — (760) 843-0506

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95022927 (CA)

Record details

NPI number1669182812
Entity typeIndividual (Type 1)
GenderMale
Credentials BC-PMHNP
Sole proprietorYes
NPI enumeratedNovember 29, 2022
Last updated in NPPESJune 10, 2023
Certification dateJune 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Foothill Behavioral Health Consultants Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Victorville