AUDREY FONG CPNP
NPI 1023409513
Nurse Practitioner - Pediatrics in Palo Alto, CA

Q: What is Audrey Fong's NPI number?

The NPI number for Audrey Fong is 1023409513. It was assigned to this individual provider in the NPPES registry on February 5, 2015.

Q: What is Audrey Fong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Fong was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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 February 05, 2015PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000(650) 498-5840 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2016, Dec 18, 2015 (2 updates tracked since 2015).

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About Audrey Fong Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY FONG CPNP (NPI 1023409513) is an individual pediatrics provider in Palo Alto, California, licensed in California (22572) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023409513

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameAUDREY FONGCredential: CPNP

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address1804 Embarcadero Rd, SuitePalo Alto, CA 94303-3341 · (650) 723-4000 · Fax (650) 498-5840

Phone(650) 497-8000

Fax(650) 498-5840

Sole ProprietorNo

Enumeration DateFebruary 5, 2015

Last NPPES UpdateAugust 17, 20162 updates tracked since enumeration

✔ NPI 1023409513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in CA · 22572

725 WELCH RD, Palo Alto, CA 94304

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Fong Cpnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94304 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)