Alisa Licon, FNP-C
NPI 1568315836 · Family Nurse Practitioner · Upland, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alisa Licon, FNP-C is a Family Nurse Practitioner provider in Upland, CA (NPI 1568315836).
Provider details
- NPI number
- 1568315836
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 95036899 (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 tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-02-17
- Last updated
- 2026-02-17
- Certified
- 2026-02-12
Frequently asked questions
- What is Alisa Licon's NPI number?
- Alisa Licon's National Provider Identifier (NPI) is 1568315836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alisa Licon's specialty?
- Alisa Licon is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Alisa Licon located?
- Alisa Licon's practice location on file with NPPES is 685 N 13th Ave, Upland, CA 91786-4916.
- What is Alisa Licon's phone number?
- The practice phone number listed in the NPPES registry for Alisa Licon is (909) 981-8383.
- Does Alisa Licon accept Medicare?
- Alisa Licon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alisa Licon's NPI active?
- Yes — Alisa Licon's NPI (1568315836) is active in the NPPES registry as of the last update on 2026-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.