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: August 02, 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
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

Secondary Practice Locations 2

Location 1344 E 6th StMadera, CA 93638-3631 · Phone (559) 664-4000 · Fax (559) 675-5224
Location 26121 N Thesta St Ste 303Fresno, CA 93710-5294 · Phone (559) 450-2300 · Fax (559) 450-2392

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

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.

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.

Obstetrics & Gynecology
7202 N MILLBROOK AVE STE 206
FRESNO, CA 93720

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.

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 13 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.