ALISA LICON FNP-C
NPI 1568315836
Nurse Practitioner - Family in Upland, CA
About Alisa Licon Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISA LICON FNP-C (NPI 1568315836) is an individual family provider in Upland, California, licensed in California (95036899) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS Enrollment Status
Alisa Licon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 91786 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $91.88
- Minimum New Patient Price $59.6
- Maximum New Patient Price $179.42
- Average New Patient Copayment $22.97
- Minimum New Patient Copayment $14.9
- Maximum New Patient Copayment $44.85
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $104.64
- Minimum Established Patient Price $19.37
- Maximum Established Patient Price $146.42
- Average Established Patient Copayment $26.16
- Minimum Established Patient Copayment $4.84
- Maximum Established Patient Copayment $36.6
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
UPLAND, CA 91786
UPLAND, CA 91786
UPLAND, CA 91786
UPLAND, CA 91786
UPLAND, CA 91786
UPLAND, CA 91786
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568315836, enumerated as an "individual" on February 17, 2026.
The provider is located at 685 N 13TH AVE UPLAND, CA 91786 and the phone number is (909) 981-8383.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
