SONATA DEMESHA POON FNP-BC, PMHNP-BC
NPI 1477010890
Nurse Practitioner - Psychiatric/Mental Health in Fresno, CA

Active since February 21, 2019PECOS EnrolledAccepts Medicare Assignment
4441 E KINGS CANYON RD, FRESNO, CA 93702(559) 600-9180 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2023, Feb 21, 2019 (2 updates tracked since 2019).

About Sonata Demesha Poon Fnp-bc, Pmhnp-bc NPPES

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

SONATA DEMESHA POON FNP-BC, PMHNP-BC (NPI 1477010890) is an individual psychiatric/mental health provider in Fresno, California, licensed in California (95013918) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Snellville, and is a graduate of University Of Alabama School Of Medicine (2018).

NPPES Registry Identity

NPI1477010890
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSONATA DEMESHA POONCredential: FNP-BC, PMHNP-BC
Location Address4441 E KINGS CANYON RDFresno, CA 93702-3604
Mailing Address2795 Main St WSnellville, GA 30078-3164
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2018
Enumeration DateFebruary 21, 2019
Last NPPES UpdateAugust 2, 20232 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
✔ NPI 1477010890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CA · 95013918✔ Licensed in GA · RN249827
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN249827 (GA)
4441 E KINGS CANYON RD, Fresno, CA 93702

Secondary Practice Location 1

Location 12795 Main St WSnellville, GA 30078-3164 · Phone (404) 604-3700

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

Sonata Demesha Poon Fnp-bc, Pmhnp-bc 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 ID8224371042
PECOS Enrollment IDI20241010000350
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 Reassignments

2

Medicare enrollment records show Sonata Poon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Public Health, State or Local
1221 FULTON MALL, PUBLIC HEALTH CLINICS, 1ST FLOOR
Fresno, CA 93721
  • Reassigned Medicare billing, California enrollment
  • 99 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
3810 ROSIN CT, SUITE 100
Sacramento, CA 95834
  • Reassigned Medicare billing, California enrollment
  • 55 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 93702 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 20

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

Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702
Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702
Counselor (Mental Health)
4441 E KINGS CANYON RD
FRESNO, CA 93702
Counselor (Mental Health)
4441 E KINGS CANYON RD
FRESNO, CA 93702
Licensed Psychiatric Technician
4441 E KINGS CANYON RD
FRESNO, CA 93702
Psychologist
4441 E KINGS CANYON RD
FRESNO, CA 93702
Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702
Licensed Vocational Nurse
4441 E KINGS CANYON RD
FRESNO, CA 93702

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 Sonata Poon's NPI number?

The NPI number for Sonata Poon is 1477010890. It was assigned to this individual provider in the NPPES registry on February 21, 2019.

Where is Sonata Poon located?

Sonata Poon practices at 4441 E Kings Canyon Rd, Fresno, CA 93702. The listed phone number is (559) 600-9180.

What is Sonata Poon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sonata Poon enrolled in Medicare?

Yes. Sonata Poon 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 organizations bill Medicare for Sonata Poon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonata Poon reassigns Medicare benefits to 2 organizations: County Of Fresno (Fresno, CA) and Peach Tree Healthcare (Sacramento, CA). Each 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 Sonata Poon'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 Sonata Poon was last updated on August 2, 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.