AUDREY JOAN REALEZA CANO FNP-BC
NPI 1154987634
Nurse Practitioner - Primary Care in Santa Monica, CA

Active since May 10, 2019PECOS EnrolledAccepts Medicare Assignment
90.81/100
CMS Quality Rating
1223 16TH ST STE 3100, SANTA MONICA, CA 90404(424) 259-8791 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2020, Oct 20, 2020, May 10, 2019 (3 updates tracked since 2019).

About Audrey Joan Realeza Cano Fnp-bc NPPES

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

AUDREY JOAN REALEZA CANO FNP-BC (NPI 1154987634) is an individual primary care provider in Santa Monica, California, licensed in California (NP95010935) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154987634
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameAUDREY JOAN REALEZA CANOCredential: FNP-BC
Location Address1223 16TH ST STE 3100Santa Monica, CA 90404-1275
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 10, 2019
Last NPPES UpdateDecember 30, 20203 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
NPI 1154987634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · NP95010935
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP95010935 (CA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License NP95010935 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP95010935 (CA)
1223 16TH ST STE 3100, Santa Monica, CA 90404

Secondary Practice Locations 3

Location 1100 Ucla Medical Plaza Suite 310Los Angeles, CA 90095-5694 · Phone (424) 259-8791
Location 21241 E Dyer Rd Ste 145Santa Ana, CA 92705-5694 · Phone (949) 538-2073
Location 3120 S Spalding Dr Ste 401Beverly Hills, CA 90212-1842 · Phone (424) 259-8791

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

Audrey Joan Realeza Cano Fnp-bc 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 ID2365871050
PECOS Enrollment IDI20200331003633
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 3

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.
216 services187 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.79
Promoting Interoperability100
Improvement Activities40
Cost80.84

Other Providers at the Same Location NPPES 13

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

Psychologist (Clinical)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Internal Medicine (Geriatric Medicine)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Physician Assistant
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Dietitian, Registered
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Nurse Practitioner
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Internal Medicine (Gastroenterology)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Internal Medicine (Gastroenterology)
1223 16TH ST STE 3100
SANTA MONICA, CA 90404
Surgery
1223 16TH ST STE 3100
SANTA MONICA, CA 90404

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 Audrey Joan Cano's NPI number?

The NPI number for Audrey Joan Cano is 1154987634. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Audrey Joan Cano located?

Audrey Joan Cano practices at 1223 16th St Ste 3100, Santa Monica, CA 90404. The listed phone number is (424) 259-8791.

What is Audrey Joan Cano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Audrey Joan Cano enrolled in Medicare?

Yes. Audrey Joan Cano 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 Audrey Joan Cano was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.