Individual provider Active NPI

Annalisa Sergent, CPNP

  • Pediatric Nurse Practitioner
  • Monterey, CA
National Provider Identifier
1699438515
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95018645 Issued in CA
Practice address
2 Upper Ragsdale Dr Ste B210
Monterey, CA 93940-7851
Phone
(831) 333-0999
Fax
(831) 333-0909
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95018645 CA Primary

Addresses

Primary practice location

2 Upper Ragsdale Dr Ste B210
Monterey, CA 93940-7851

Mailing address

2 Upper Ragsdale Dr Ste B210
Monterey, CA 93940-7851
Phone (831) 333-0999

Other names 1

  • Annalisa Barca-Hall Former name

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
I20240430000956 CA Practitioner - Nurse Practitioner 5698115269 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95018645CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Medical Foundation Pediatrics CurrentSince Mar 21, 2024 Accepting new patients
St. Junipero Clinic, Inc. Pediatrics CurrentSince Sep 25, 2022 Accepting new patients
Monterey Peninsula Pediatric Medical Group, Inc Pediatrics Past Accepting new patients

Locations

333 Abbott St
Ste C
Salinas, CA 93901
Phone (831) 288-8811

1081 Market Pl
Ste 500
San Ramon, CA 94583
Phone (669) 235-4188

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.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1699438515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR STE B210",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407851",
            "telephone_number": "831-333-0999",
            "fax_number": "831-333-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR STE B210",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407851",
            "telephone_number": "831-333-0999",
            "fax_number": "831-333-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGENT",
        "first_name": "ANNALISA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95018645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNALISA",
            "last_name": "BARCA-HALL",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.