TERESA ILENE BERO ALCANTARA CRNA
NPI 1073844304
Nurse Anesthetist, Certified Registered in Brawley, CA

Q: What is Teresa Alcantara's NPI number?

The NPI number for Teresa Alcantara is 1073844304. It was assigned to this individual provider in the NPPES registry on January 27, 2010.

Q: What is Teresa Alcantara's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Alcantara was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 27, 2010Accepts Medicare Assignment

207 W LEGION RD, BRAWLEY, CA 92227(760) 351-3288 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2022, Aug 4, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Teresa Ilene Bero Alcantara Crna NPPES

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

TERESA ILENE BERO ALCANTARA CRNA (NPI 1073844304) is an individual nurse anesthetist, certified registered in Brawley, California, licensed in California (NA95000636) and active in the NPI registry since January 2010. She maintains a secondary practice location in Clinton and is a graduate of Other (2009).

NPPES Registry Identity

NPI1073844304

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameTERESA ILENE BERO ALCANTARACredential: CRNA

Location Address207 W LEGION RDBrawley, CA 92227-7780

Mailing AddressPo Box 7096Stockton, CA 95267-0096 · (209) 956-7725 · Fax (209) 956-7733

Phone(760) 351-3288

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 27, 2010

Last NPPES UpdateAugust 23, 20225 updates tracked since enumeration

✔ NPI 1073844304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in CA · NA95000636✔ Licensed in MD · R187492

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

207 W LEGION RD, Brawley, CA 92227

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Secondary Practice Location 1

Location 17503 Surratts RdClinton, MD 20735-3358 · Phone (301) 870-7001 · Fax (301) 870-6697

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teresa Ilene Bero Alcantara Crna 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 ID6800923608

PECOS Enrollment IDI20171114000797

Medicare Billing Reassignments

Medicare enrollment records show Teresa Alcantara reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Medical Group Of Imperial Valley, Inc.

Same address

Anesthesiology

207 W LEGION RD
Brawley, CA 92227

Reassigned Medicare billing, California enrollment
33 clinicians in this Medicare group

NPI 1487087136 (760) 351-3288

Southern California Permanente Medical Group

90 mi

Health Maintenance Organization

4647 ZION AVE
San Diego, CA 92120

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92227 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

$134.04 typical visit price

range $58.90 – $176.72

Typical copayment $33.51 (range $14.72 – $44.18)

Most-billed visit code 99204

Established Patient

$73.20 typical visit price

range $19.28 – $144.68

Typical copayment $18.30 (range $4.82 – $36.17)

Most-billed visit code 99213

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.

MR. MARSHALL RAY DEBRULER P.A.-C

Physician Assistant