Kathiria Plascencia, FNP-BC
NPI 1174261523 · Family Nurse Practitioner · Newport Beach, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kathiria Plascencia, FNP-BC is a Family Nurse Practitioner provider in Newport Beach, CA (NPI 1174261523).
Provider details
- NPI number
- 1174261523
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95021054 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
153 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 46 | $15 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 34 | $131 |
| Infusion Into a Vein for Therapy, Prevention, Or Diagnosis, 1 Hour Or Less96365 | 24 | $61 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 19 | $127 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 93 | 19 |
| Baclofen | 56 | 16 |
| Memantine Hcl | 32 | — |
| Amitriptyline Hcl | 30 | — |
| Galcanezumab-Gnlmbrand: Emgality Pen | 24 | — |
| Rizatriptan Benzoatebrand: Rizatriptan | 22 | — |
| Topiramate | 22 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$453 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1520 San Pablo St Ste 3000Los Angeles, CA 90033-5315Phone: (323) 442-5890Fax: (323) 442-7978
Registry dates
- Enumerated
- 2022-05-25
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Frequently asked questions
- What is Kathiria Plascencia's NPI number?
- Kathiria Plascencia's National Provider Identifier (NPI) is 1174261523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathiria Plascencia's specialty?
- Kathiria Plascencia is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kathiria Plascencia located?
- Kathiria Plascencia's practice location on file with NPPES is 520 Superior Ave Ste 205, Newport Beach, CA 92663-3667.
- What is Kathiria Plascencia's phone number?
- The practice phone number listed in the NPPES registry for Kathiria Plascencia is (949) 763-7188.
- Does Kathiria Plascencia accept Medicare?
- Kathiria Plascencia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kathiria Plascencia's NPI active?
- Yes — Kathiria Plascencia's NPI (1174261523) is active in the NPPES registry as of the last update on 2025-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.