Priscilla Lisett Medina Ibarra, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95025920 Issued in CA

Practice address

1674 Willow PL
Wasco, CA 93280-2510

Phone

(661) 229-9240

NPI assigned

Oct 26, 2023

Last updated

Oct 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians

Shafter Urgent CareGroup PAC ID 9133494578, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kern Medical Center Hospital, Bakersfield, CA, CCN 050315

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kern County Hospital Authority

  dba Kern Medical Center

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376623538
  Medicare reassignment Care Compare group NPD
• Shafter Urgent Care

  • Urgent Care Clinic/Center
  • Shafter, CA
  • NPI 1376994533
  Medicare reassignment Care Compare group NPD
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1548715063
  NPD

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

• Kern County Hospital Authority

  dba Kern Medical Center

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376623538
  Care Compare affiliation
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376960005
  Care Compare affiliation
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1427176569
  Care Compare affiliation
• Kern County Hospital Authority

  dba Kern Medical Center

  • Pharmacy
  • Bakersfield, CA
  • NPI 1629081849

  Hospital

  Care Compare affiliation
• Kern County Hospital Authority

  dba Kern Medical Center

  • Pharmacy
  • Bakersfield, CA
  • NPI 1699859223

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1942072418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 WILLOW PL",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932802510",
            "telephone_number": "661-229-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 WILLOW PL",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932802510",
            "telephone_number": "661-229-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA IBARRA",
        "first_name": "PRISCILLA",
        "middle_name": "LISETT",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Matthews
• Tereza Maya, NP
• Maria Lizbeth Mazcoro
• Corinne L McDulley
• Medi-Ride Express
• Inas I. Michael, D.D.S.
• Monica Milligan
• Camellia Mohadjer, PH.D.
• Georgetta Molnar
• Jesus Ricardo Montemayor

• Nurse Practitioner in Wasco, CA
• Providers in Wasco, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.