Noli Punzalan

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5010836 Issued in NC

Practice address

2153 Valleygate Dr Ste 102
Fayetteville, NC 28304-3667

Phone

(910) 321-7246

NPI assigned

Aug 14, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amputation Prevention Center of North Carolina LLCGroup PAC ID 4486083664, 18 clinicians

Interventional Pain Center PLLCGroup PAC ID 9537071238, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Interventional Pain Center PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Fayetteville, NC
  • NPI 1558428789
  Medicare reassignment Care Compare group NPD
• Rao Clinic PLLC

  • Vascular & Interventional Radiology Physician
  • Cary, NC
  • NPI 1073148581

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Interventional Pain Center, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Lumberton, NC
  • NPI 1790220408
  NPD
• North Carolina Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Cary, NC
  • NPI 1265361059
  NPD (past)
• Specialty Spine and Pain PC

  • Specialist
  • Gainesville, GA
  • NPI 1447359112
  NPD (past)
• Spine Center of PA LLC

  • Interventional Pain Medicine Physician
  • Erie, PA
  • NPI 1104465681
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1023597697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 VALLEYGATE DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043667",
            "telephone_number": "910-321-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 VALLEYGATE DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043667",
            "telephone_number": "910-321-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNZALAN",
        "first_name": "NOLI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aurea Pugh
• Katherine Pate Pugh, RDH
• Tejaswi Pulusu
• Laci Scenah Punturi
• Jane Lingao Punzalan, NP-C
• Thomas James Puplava
• Pura Clinic Family Medicine PC
• Pura Clinic Family Medicine PC
• Pura Clinic Family Medicine PC
• Hester Purcell, LCSW

• Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.