ANA CARMEN DUNCAN NP-C
NPI 1275266744
Nurse Practitioner - Family in Fresno, CA

Active since July 02, 2022PECOS Enrolled
85.78/100
CMS Quality Rating
1313 E HERNDON AVE STE 203, FRESNO, CA 93720(559) 439-6808(559) 439-9335 Get Directions Write a Review

NPPES record last updated: July 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ana Carmen Duncan Np-c NPPES

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

ANA CARMEN DUNCAN NP-C (NPI 1275266744) is an individual family provider in Fresno, California, licensed in California (95021118) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clovis.

NPPES Registry Identity

NPI1275266744
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANA CARMEN DUNCANCredential: NP-C
Location Address1313 E HERNDON AVE STE 203Fresno, CA 93720-3306
Mailing Address2594 Sierra Madre AveClovis, CA 93611-6520 · (559) 250-0553
Fax(559) 439-9335
Sole ProprietorNo
Enumeration DateJuly 2, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1275266744 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 · 95021118
1313 E HERNDON AVE STE 203, Fresno, CA 93720

Secondary Practice Location 1

Location 1726 N Medical Center Dr E Ste 125Clovis, CA 93611-6882 · Phone (559) 439-6808 · Fax (559) 439-9335

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ana Carmen Duncan Np-c 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 Ana Duncan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7370 N PALM AVE STE 101
Fresno, CA 93711
  • Reassigned Medicare billing, California enrollment
  • 508 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
28 services19 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
24 services16 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.

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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1313 E HERNDON AVE STE 203
FRESNO, CA 93720
Nurse Practitioner (Family)
1313 E HERNDON AVE STE 203
FRESNO, CA 93720
Nurse Practitioner (Family)
1313 E HERNDON AVE STE 203
FRESNO, CA 93720
Internal Medicine (Cardiovascular Disease)
1313 E HERNDON AVE STE 203
FRESNO, CA 93720
Nurse Practitioner (Family)
1313 E HERNDON AVE STE 203
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 Ana Duncan's NPI number?

The NPI number for Ana Duncan is 1275266744. It was assigned to this individual provider in the NPPES registry on July 2, 2022.

Where is Ana Duncan located?

Ana Duncan practices at 1313 E Herndon Ave Ste 203, Fresno, CA 93720. The listed phone number is (559) 439-6808.

What is Ana Duncan's specialty?

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

Is Ana Duncan enrolled in Medicare?

Yes. Ana Duncan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ana Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ana Duncan reassigns Medicare benefits to Community Foundation Medical Group (Fresno, 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 Ana Duncan'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 Ana Duncan was last updated on July 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.