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ALYSSA ANTONIO DNP, NP
NPI 1083450050
Nurse Practitioner in Stanford, CA

Active since July 08, 2024PECOS Enrolled
300 PASTEUR DR, STANFORD, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2025, Sep 16, 2024, Jul 8, 2024 (3 updates tracked since 2024).

About Alyssa Antonio Dnp, Np NPPES

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

ALYSSA ANTONIO DNP, NP (NPI 1083450050) is an individual nurse practitioner in Stanford, California, licensed in California (95031472) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Mateo.

NPPES Registry Identity

NPI1083450050
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALYSSA ANTONIOCredential: DNP, NP
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Phone(650) 723-4000
Sole ProprietorYes
Enumeration DateJuly 8, 2024
Last NPPES UpdateMarch 5, 20253 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1083450050 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 CA · 95031472
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.
300 PASTEUR DR, Stanford, CA 94305
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Secondary Practice Location 1

Location 11125 Park Pl Apt 408San Mateo, CA 94403-1580 · Phone (808) 554-4096

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Antonio Dnp, Np 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 94305 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.

PRISTA CHARUWORN MD
Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Santa Clara County (650) 723-6661
ANDREW CHARLES PICEL M.D
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
MATTHEW A WRIGHT M.D. PH.D.
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
DR. QUAZI ZUBAIR AL-TARIQ M.D.
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
ANGIE DEE MURKINS NP
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
DR. JAMSHID GHAJAR MD PHD
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000
SARA BAKHTARY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Santa Clara County (650) 723-5252
YU KUANG LAI MD
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305
Santa Clara County (650) 723-4000

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 Alyssa Antonio's NPI number?

The NPI number for Alyssa Antonio is 1083450050. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Alyssa Antonio located?

Alyssa Antonio practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.

What is Alyssa Antonio's specialty?

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

Is Alyssa Antonio enrolled in Medicare?

Yes. Alyssa Antonio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Antonio was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.