MRS. ALICIA ANNE PRUCKNIC RN, BSN, CCM
NPI 1336814599
Nurse Practitioner - Psychiatric/Mental Health in Brownstown Twp, MI
About Mrs. Alicia Anne Prucknic Rn, Bsn, Ccm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALICIA ANNE PRUCKNIC RN, BSN, CCM (NPI 1336814599) is an individual psychiatric/mental health provider in Brownstown Twp, Michigan, licensed in Michigan (4704244622) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Alicia Anne Prucknic Rn, Bsn, Ccm 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.
Medicare Billing Reassignment
Medicare enrollment records show Alicia Prucknic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southfield, MI 48034
- Reassigned Medicare billing, Michigan enrollment
- 26 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48183 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alicia Prucknic's NPI number?
The NPI number for Alicia Prucknic is 1336814599. It was assigned to this individual provider in the NPPES registry on August 10, 2021.
Where is Alicia Prucknic located?
Alicia Prucknic practices at 23772 West Rd # 262, Brownstown Twp, MI 48183. The listed phone number is (734) 788-9111.
What is Alicia Prucknic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Alicia Prucknic enrolled in Medicare?
Yes. Alicia Prucknic 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.
Which organization bills Medicare for Alicia Prucknic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Prucknic reassigns Medicare benefits to Commerce Sports And Spine PLLC (Southfield, MI). 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 Alicia Prucknic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alicia Prucknic accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Alicia Prucknic 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 Alicia Prucknic was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Mrs. Alicia Anne Prucknic, RN, BSN, CCM · NPI 1336814599
Psychiatric/Mental Health physician in Brownstown Twp, Michigan. Individual provider, active in the CMS NPPES registry since August 10, 2021.
## Identity
- **NPI:** 1336814599 (Entity type: Individual)
- **Enumerated:** August 10, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4704244622 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 23772 WEST RD # 262, Brownstown Twp, MI 48183-3050
- **Phone:** (734) 788-9111 · **Fax:** (734) 941-3264
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Commerce Sports And Spine PLLC (NPI 1720629157, Southfield, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336814599) · Data from the CMS NPPES public registry.