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MRS. ALICIA ANNE PRUCKNIC RN, BSN, CCM
NPI 1336814599
Nurse Practitioner - Psychiatric/Mental Health in Brownstown Twp, MI

Active since August 10, 2021PECOS EnrolledAccepts Medicare Assignment
23772 WEST RD # 262, BROWNSTOWN TWP, MI 48183(734) 788-9111(734) 941-3264 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Apr 8, 2024, Aug 10, 2021 (3 updates tracked since 2021).

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

NPI1336814599
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. ALICIA ANNE PRUCKNICCredential: RN, BSN, CCM
Location Address23772 WEST RD # 262Brownstown Twp, MI 48183-3050
Mailing Address23772 West Rd # 262Brownstown Twp, MI 48183-3050 · (734) 788-9111 · Fax (734) 941-3264
Phone(734) 788-9111
Fax(734) 941-3264
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 10, 2021
Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1336814599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704244622
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License 4704244622 (MI)
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 4704244622 (MI)
23772 WEST RD # 262, Brownstown Twp, MI 48183
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

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.

PECOS PAC ID3678013885
PECOS Enrollment IDI20240913001543
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 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.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 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.

What insurance does Alicia Prucknic accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare 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 18 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.