POONLARP LURSLURCHACHAI
NPI 1205603149
Nurse Practitioner - Psychiatric/Mental Health in Rohnert Park, CA

Q: What is Poonlarp Lurslurchachai's NPI number?

The NPI number for Poonlarp Lurslurchachai is 1205603149. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Q: What is Poonlarp Lurslurchachai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 11, 2023PECOS EnrolledAccepts Medicare Assignment

1509 KEATS PL, ROHNERT PARK, CA 94928(650) 878-7525 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 29, 2024, Dec 11, 2023 (2 updates tracked since 2023).

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About Poonlarp Lurslurchachai NPPES

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

POONLARP LURSLURCHACHAI (NPI 1205603149) is an individual psychiatric/mental health provider in Rohnert Park, California, licensed in California (95030638) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205603149

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NamePOONLARP LURSLURCHACHAI

Location Address1509 KEATS PLRohnert Park, CA 94928-5047

Mailing Address1509 Keats PlRohnert Park, CA 94928-5047 · (650) 878-7525

Phone(650) 878-7525

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 11, 2023

Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1205603149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95030638

1509 KEATS PL, Rohnert Park, CA 94928

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Poonlarp Lurslurchachai 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 ID244761922

PECOS Enrollment IDI20241004002870

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 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.

22 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94928 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

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 Poonlarp Lurslurchachai's NPI number?

The NPI number for Poonlarp Lurslurchachai is 1205603149. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Where is Poonlarp Lurslurchachai located?

Poonlarp Lurslurchachai practices at 1509 Keats Pl, Rohnert Park, CA 94928. The listed phone number is (650) 878-7525.

What is Poonlarp Lurslurchachai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Poonlarp Lurslurchachai enrolled in Medicare?

Yes. Poonlarp Lurslurchachai 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.

What insurance does Poonlarp Lurslurchachai accept?

Health plans from Providence Health Plan list Poonlarp Lurslurchachai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Poonlarp Lurslurchachai was last updated on July 29, 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.