MS. JUDY ANN PICAZO N.P.
NPI 1093866543
Nurse Practitioner in Fountain Valley, CA
About Ms. Judy Ann Picazo N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JUDY ANN PICAZO N.P. (NPI 1093866543) is an individual nurse practitioner in Fountain Valley, California, licensed in California (R.N. 631428) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Judy Ann Picazo N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Judy Picazo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fountain Valley, CA 92708
- Reassigned Medicare billing, California enrollment
- 948 clinicians in this Medicare group
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 2,052 clinicians in this Medicare group
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 92708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FOUNTAIN VALLEY, CA 92708
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 Judy Picazo's NPI number?
The NPI number for Judy Picazo is 1093866543. It was assigned to this individual provider in the NPPES registry on January 12, 2007.
Where is Judy Picazo located?
Judy Picazo practices at 17360 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (714) 944-1771.
What is Judy Picazo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Judy Picazo enrolled in Medicare?
Yes. Judy Picazo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Judy Picazo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judy Picazo reassigns Medicare benefits to 2 organizations: Memorialcare Medical Foundation (Fountain Valley, CA) and Healthcare Partners Affiliates Medical Group (Tustin, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judy Picazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Judy Picazo was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Judy Ann Picazo, N.P. · NPI 1093866543
Nurse Practitioner physician in Fountain Valley, California. Individual provider, active in the CMS NPPES registry since January 12, 2007.
## Identity
- **NPI:** 1093866543 (Entity type: Individual)
- **Enumerated:** January 12, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R.N. 631428 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17360 BROOKHURST ST, Fountain Valley, CA 92708-3720
- **Phone:** (714) 944-1771
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorialcare Medical Foundation (NPI 1205167350, Fountain Valley, CA); Healthcare Partners Affiliates Medical Group (NPI 1891981502, Tustin, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093866543) · Data from the CMS NPPES public registry.