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NOLI PUNZALAN
NPI 1023597697
Nurse Practitioner in Fayetteville, NC

Active since August 14, 2018PECOS EnrolledAccepts Medicare Assignment
94.48/100
CMS Quality Rating
2153 VALLEYGATE DR STE 102, FAYETTEVILLE, NC 28304(910) 321-7246 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Noli Punzalan NPPES

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

NOLI PUNZALAN (NPI 1023597697) is an individual nurse practitioner in Fayetteville, North Carolina, licensed in North Carolina (5010836) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023597697
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameNOLI PUNZALAN
Location Address2153 VALLEYGATE DR STE 102Fayetteville, NC 28304-3667
Mailing Address2153 Valleygate Dr Ste 102Fayetteville, NC 28304-3667 · (910) 321-7246
Phone(910) 321-7246
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 14, 2018
✔ NPI 1023597697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5010836
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2153 VALLEYGATE DR STE 102, Fayetteville, NC 28304
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Other Identifiers 1

MedicaidPENDINGNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Noli Punzalan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113270174
PECOS Enrollment IDI20181022002847
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,118 services175 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
170 services83 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
25 services25 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.13
Promoting Interoperability100
Improvement Activities40
Cost86.64

Reported Quality Measures

Advance Care Plan
91%388 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
68%360 patients3/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%1,016 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
89%838 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
97%4,670 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 783 patients
Patients screened: 100% · 783 patients
94%181 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 99% · 783 patients
Patients screened: 100% · 783 patients
91%96 patients
Provide Patients Electronic Access to Their Health Information
92%686 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. WHITNEY KERN BRADDY M.D.
Anesthesiology (Pain Medicine)
2153 VALLEYGATE DR STE 102
FAYETTEVILLE, NC 28304
Cumberland County (910) 321-7246
KHALILAH TAYLOR FNP-C
Nurse Practitioner (Family)
2153 VALLEYGATE DR STE 102
FAYETTEVILLE, NC 28304
Cumberland County (910) 321-7246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noli Punzalan's NPI number?

The NPI number for Noli Punzalan is 1023597697. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Noli Punzalan located?

Noli Punzalan practices at 2153 Valleygate Dr Ste 102, Fayetteville, NC 28304. The listed phone number is (910) 321-7246.

What is Noli Punzalan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Noli Punzalan enrolled in Medicare?

Yes. Noli Punzalan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Noli Punzalan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Noli Punzalan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Noli Punzalan was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.