Estevan Acuna, FNP
Individual provider Active NPI Family Nurse Practitioner · Sonora, CA
NPI 1104821032 · NPPES record last updated Oct 13, 2021
Key facts
- NPI
- 1104821032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP360218 (CA)
- Practice address
- 13975 Mono Way
Suite G
Sonora, CA 95370-2824 - Phone
- (209) 533-9600
- Fax
- (209) 533-9608
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Yale University School of Medicine, 1983
- Medicare assignment
- May accept Medicare assignment
- Group practices
- M a C T Health Board Incorporated
Practice addresses (Care Compare)
13975 Mono Way
Suite G
Sonora, CA 95370-2824
Phone (209) 533-9600
52 S Main St
Angels Camp, CA 95222-9153
Phone (209) 754-6262
940 Sylva LN
Sonora, CA 95370-5969
Hospital & facility affiliations
- Adventist Health Sonora
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090909000778 | CA | Practitioner - Nurse Practitioner | 8729133061 | |
| I20250527002851 | TX | Practitioner - Nurse Practitioner | 8729133061 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP360218 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M a C T Health Board, Incorporated | Past | Accepting new patients | |
| M a C T Health Board Incorporated | Past | Accepting new patients | |
| M a C T Health Board Incorporated | Past | Accepting new patients | |
| M a C T Health Board, Incorporated | Past | Accepting new patients | |
| M a C T Health Board Incorporated | Past | Accepting new patients | |
| M a C T Health Board Incorporated | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- estevan.acuna@direct.macthealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 360218 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP360218 | CA | Yes |
Addresses
Primary practice location
13975 Mono Way
Suite G
Sonora, CA 95370-2824
Mailing address
PO Box 939
Angels Camp, CA 95222-0939
Phone (209) 754-6262
Other providers in Sonora, CA
- Alejandro Abarca
- Abhijit Gune DDS a Professional Corp
- Penny Heather Ablin
- Craig William Adams
- Adaptive Health Solutions
- Andrew J Addley
- Adult Medicine Specialists, Inc
- Adventist Health Physicians Network
All providers in Sonora, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.