Individual provider Active NPI

Lorelei Punsalan, DNP

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1679990618
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95000561 Issued in CA
Practice address
1705 28TH St
Bakersfield, CA 93301-1902
Phone
(661) 322-3008
Fax
(661) 322-5507
NPI assigned
Mar 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95000561 CA
Women's Health Nurse Practitioner 363LW0102X 95000561 CA
Pediatric Clinical Nurse Specialist 364SP0200X 95000561 CA
Nurse Practitioner 363L00000X 95000561 CA Primary

Addresses

Primary practice location

1705 28TH St
Bakersfield, CA 93301-1902

Mailing address

1705 28TH St
Bakersfield, CA 93301-1902
Phone (661) 322-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200204000524 CA Practitioner - Nurse Practitioner 4880827542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jey Neuro Center IncGroup PAC ID 8820401649, 3 clinicians

Practice addresses (Care Compare)

3400 Calloway Dr
Suite 100
Bakersfield, CA 93312-2513
Phone (661) 776-3876

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jey Neuro Center, Inc CurrentSince Dec 4, 2020 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

6077 Coffee Rd
Ste 4
Bakersfield, CA 93308
Phone (661) 326-6616

3400 Calloway Dr
Ste 100
Bakersfield, CA 93312
Phone (651) 497-7999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 2

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1679990618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 28TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011902",
            "telephone_number": "661-322-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 28TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011902",
            "telephone_number": "661-322-3008",
            "fax_number": "661-322-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNSALAN",
        "first_name": "LORELEI",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95000561",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95000561",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "CA",
            "license": "95000561",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95000561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.