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LARAMIE COSIO PUNZALAN
NPI 1225718992
Nurse Practitioner - Family in Avenal, CA

Active since July 18, 2023PECOS Enrolled
337 E KINGS ST, AVENAL, CA 93204(559) 386-5200 Get Directions Write a Review

NPPES record last updated: August 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Laramie Cosio Punzalan NPPES

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

LARAMIE COSIO PUNZALAN (NPI 1225718992) is an individual family provider in Avenal, California, licensed in California (95025974) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Avenal.

NPPES Registry Identity

NPI1225718992
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLARAMIE COSIO PUNZALAN
Location Address337 E KINGS STAvenal, CA 93204-1630
Mailing Address337 E Kings StAvenal, CA 93204-1630 · (559) 386-5200
Phone(559) 386-5200
Sole ProprietorNo
Enumeration DateJuly 18, 2023
Last NPPES UpdateAugust 6, 2023
NPPES CertifiedAugust 6, 2023
✔ NPI 1225718992 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 · 95025974
337 E KINGS ST, Avenal, CA 93204
Open in Google Maps ↗

Secondary Practice Location 1

Location 1216 E Fresno StAvenal, CA 93204-1525 · Phone (559) 386-5364

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laramie Cosio Punzalan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Laramie Punzalan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reedley Community Hospital
56 mi
General Acute Care Hospital
372 W. CYPRESS AVE
Reedley, CA 93654
  • Reassigned Medicare billing, California enrollment
  • 315 clinicians in this Medicare group
NPI 1336167550 (559) 638-8155

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 93204 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 4

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

VALLEY FAMILY HEALTH CENTER MEDICAL GROUP, INC.
Clinic/Center (Rural Health)
337 E KINGS ST
AVENAL, CA 93204
Kings County (559) 386-5200
REEDLEY COMMUNITY HOSPITAL
Clinic/Center (Rural Health)
337 E KINGS ST
AVENAL, CA 93204
Kings County (559) 386-5200
VALLEY FAMILY HEALTH CENTER
Clinic/Center (Primary Care)
337 E KINGS ST
AVENAL, CA 93204
Kings County (559) 386-5200
CENTRAL VALLEY MATERNAL & CHILD CARE CENTERS
Clinic/Center (Primary Care)
337 E KINGS ST
AVENAL, CA 93204
Kings County (559) 386-5200

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 Laramie Punzalan's NPI number?

The NPI number for Laramie Punzalan is 1225718992. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Laramie Punzalan located?

Laramie Punzalan practices at 337 E Kings St, Avenal, CA 93204. The listed phone number is (559) 386-5200.

What is Laramie Punzalan's specialty?

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

Is Laramie Punzalan enrolled in Medicare?

Yes. Laramie Punzalan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laramie Punzalan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laramie Punzalan reassigns Medicare benefits to Reedley Community Hospital (Reedley, CA). The 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 Laramie Punzalan'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 Laramie Punzalan was last updated on August 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.