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ALICIA HERNANDEZ PUNSALAN
NPI 1104307958
Nurse Practitioner - Family in Fresno, CA

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
7202 N MILLBROOK AVE STE 206, FRESNO, CA 93720(559) 450-2300(559) 450-2392 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2025, Aug 28, 2018 (2 updates tracked since 2018).

About Alicia Hernandez Punsalan NPPES

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

ALICIA HERNANDEZ PUNSALAN (NPI 1104307958) is an individual family provider in Fresno, California, licensed in California (95009724) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104307958
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALICIA HERNANDEZ PUNSALAN
Location Address7202 N MILLBROOK AVE STE 206Fresno, CA 93720-3341
Mailing Address344 E 6th StMadera, CA 93638-3631 · (559) 664-4000 · Fax (559) 675-5224
Phone(559) 450-2300
Fax(559) 450-2392
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2018
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1104307958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95009724
7202 N MILLBROOK AVE STE 206, Fresno, CA 93720
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16121 N Thesta St Ste 303Fresno, CA 93710-5294 · Phone (559) 450-2300 · Fax (559) 450-2392
Location 2344 E 6th StMadera, CA 93638-3631 · Phone (559) 664-4000 · Fax (559) 675-5224

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

Alicia Hernandez Punsalan 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 ID648518613
PECOS Enrollment IDI20190218000727
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Alicia Punsalan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Camarena Health
Same address
Federally Qualified Health Center (FQHC)
7202 N MILLBROOK AVE STE 202
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 142 clinicians in this Medicare group
NPI 1841815347 (559) 664-4000
Saint Agnes Medical Foundation
0.2 mi
Internal Medicine
1303 E HERNDON AVE, SUITE 850
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 296 clinicians in this Medicare group
NPI 1558819482 (559) 450-5611
Adventist Health Physicians Network
14 mi
Family Medicine
2317 JENSEN AVE
Sanger, CA 93657
  • Reassigned Medicare billing, California enrollment
  • 678 clinicians in this Medicare group
NPI 1831604818 (559) 365-7147

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

Areas of Expertise CMS Part B claims

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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

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

DR. OSCAR NATHANIEL YOUNG D.O.
Obstetrics & Gynecology
7202 N MILLBROOK AVE STE 206
FRESNO, CA 93720
Fresno County (559) 450-2300

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 Alicia Punsalan's NPI number?

The NPI number for Alicia Punsalan is 1104307958. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Alicia Punsalan located?

Alicia Punsalan practices at 7202 N Millbrook Ave Ste 206, Fresno, CA 93720. The listed phone number is (559) 450-2300.

What is Alicia Punsalan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alicia Punsalan enrolled in Medicare?

Yes. Alicia Punsalan 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.

Which organizations bill Medicare for Alicia Punsalan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Punsalan reassigns Medicare benefits to 3 organizations: Camarena Health (Fresno, CA), Saint Agnes Medical Foundation (Fresno, CA) and Adventist Health Physicians Network (Sanger, 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 Alicia Punsalan'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 Alicia Punsalan was last updated on June 26, 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.