Individual provider Active NPI

Alicia Hernandez Encinas, NP

  • Family Nurse Practitioner
  • Cerritos, CA
National Provider Identifier
1548859895
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP252208 Issued in AZ
Practice address
12898 Towne Center Dr
Cerritos, CA 90703-8546
Phone
(562) 677-2470
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RNP252208 AZ Primary

Addresses

Primary practice location

12898 Towne Center Dr
Cerritos, CA 90703-8546

Mailing address

6315 W Velvet Senna Dr
Tucson, AZ 85757-7518
Phone (520) 405-2395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20210129001322 AZ Practitioner - Nurse Practitioner 6204240401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miguel a Arenas MD PCGroup PAC ID 9931209053, 5 clinicians

Practice addresses (Care Compare)

7445 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 722-0744

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.85 of 100Reported as group
Quality
87.8
Promoting interoperability
100
Improvement activities
40
Cost
75.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RNP252208AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miguel a. Arenas, M.D., PC CurrentSince Dec 11, 2023 Accepting new patients
Carelon Medical Partners, PC PastSince Jan 17, 2021 Accepting new patients
Mesquite Surgery Center LLC Past Accepting new patients

Locations

7445 E Tanque Verde Rd
#A
Tucson, AZ 85715

7445 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 722-0744

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1548859895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 W VELVET SENNA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857577518",
            "telephone_number": "520-405-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12898 TOWNE CENTER DR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038546",
            "telephone_number": "562-677-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCINAS",
        "first_name": "ALICIA",
        "middle_name": "HERNANDEZ",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2023-11-14",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP252208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.