BEVERLY LAKSANA FNP-C
NPI 1235094061
Nurse Practitioner - Family in Mission Hills, CA

Active since December 23, 2025PECOS EnrolledAccepts Medicare Assignment
15031 RINALDI ST STE 150, MISSION HILLS, CA 91345(818) 660-4700(818) 496-9575 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2026, Dec 23, 2025 (2 updates tracked since 2025).

About Beverly Laksana Fnp-c NPPES

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

BEVERLY LAKSANA FNP-C (NPI 1235094061) is an individual family provider in Mission Hills, California, licensed in California (95031972) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235094061
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBEVERLY LAKSANACredential: FNP-C
Location Address15031 RINALDI ST STE 150Mission Hills, CA 91345-1207
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Fax(818) 496-9575
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 23, 2025
Last NPPES UpdateMarch 4, 20262 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1235094061 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 · 95031972
15031 RINALDI ST STE 150, Mission Hills, CA 91345

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

Beverly Laksana Fnp-c 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 ID3375022254
PECOS Enrollment IDI20260210004166
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91345 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.

Other Providers at the Same Location NPPES 7

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

Obstetrics & Gynecology (Gynecologic Oncology)
15031 RINALDI ST STE 150
MISSION HILLS, CA 91345
Internal Medicine (Hematology & Oncology)
15031 RINALDI ST STE 150
MISSION HILLS, CA 91345
Nurse Practitioner (Acute Care)
15031 RINALDI ST STE 150
MISSION HILLS, CA 91345
Obstetrics & Gynecology (Gynecologic Oncology)
15031 RINALDI ST STE 150
MISSION HILLS, CA 91345
Internal Medicine (Hematology & Oncology)
15031 RINALDI ST STE 150
MISSION HILLS, CA 91345
Internal Medicine (Hematology & Oncology)
15031 RINALDI ST STE 150
MISSION HILLS, CA 91345
Internal Medicine (Hematology & Oncology)
15031 RINALDI ST STE 150
MISSION HILLS, CA 91345

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 Beverly Laksana's NPI number?

The NPI number for Beverly Laksana is 1235094061. It was assigned to this individual provider in the NPPES registry on December 23, 2025.

Where is Beverly Laksana located?

Beverly Laksana practices at 15031 Rinaldi St Ste 150, Mission Hills, CA 91345. The listed phone number is (818) 660-4700.

What is Beverly Laksana's specialty?

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

Is Beverly Laksana enrolled in Medicare?

Yes. Beverly Laksana 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 Beverly Laksana was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.