REBECCA PRAKASH (CRNP) – Nurse Practitioner, NPI 1164963716
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for REBECCA PRAKASH (CRNP)
10833 Le Conte Ave
Los Angeles, CA 900953240
Phone: (310) 319-1234
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
UCLA School of Dentistry, 10833, Le Conte Avenue, Westwood Village, Westwood, Los Angeles, Los Angeles County, California, 90095, United States
LOS ANGELES, CA 900953240
Phone: (310) 319-1234
Type: Location
5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA 921214250
Phone: (858) 859-1188
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170627000495 | I | Nurse Practitioner | MD | TBD |
| I20171229000791 | I | Nurse Practitioner | DC | TBD |
| I20230128000474 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 305 | 305 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 90095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | IL | |
| Orthopedic Surgery, Sports Medicine | CA | |
| Sports Medicine, Orthopedic Surgery | CA | |
| Orthopedic Surgery, Sports Medicine | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| Nurse Practitioner | CA |
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