ANGELO JOHN ALFANO FNP
NPI 1023503307
Nurse Practitioner - Family in Eureka, CA

Active since June 28, 2018PECOS Enrolled
2200 TYDD ST, EUREKA, CA 95501(707) 441-1624 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2018, Jun 28, 2018 (2 updates tracked since 2018).

About Angelo John Alfano Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELO JOHN ALFANO FNP (NPI 1023503307) is an individual family provider in Eureka, California, licensed in California (95009941) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Yale University School Of Medicine (2018).

NPPES Registry Identity

NPI1023503307
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANGELO JOHN ALFANOCredential: FNP
Location Address2200 TYDD STEureka, CA 95501-1284
Mailing Address670 9th St Ste 203Arcata, CA 95521-6249 · (707) 826-8633
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2018
Enumeration DateJune 28, 2018
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
NPI 1023503307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95009941
Also ListedRegistered NurseTaxonomy 163W00000X · License 915124825 (CA)
2200 TYDD ST, Eureka, CA 95501

Secondary Practice Locations 2

Location 1925 Bevins CourtLakeport, CA 95453-9754 · Phone (707) 263-8383 · Fax (707) 263-5019
Location 214440 Olympic DriveClearlake, CA 95422-8809 · Phone (707) 263-8383 · Fax (707) 263-5019

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Angelo John Alfano Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931446994
PECOS Enrollment IDI20190129001922
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims26 services$4.06 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$38.71 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
2200 TYDD ST
EUREKA, CA 95501
Pediatrics
2200 TYDD ST
EUREKA, CA 95501
Social Worker (Clinical)
2200 TYDD ST
EUREKA, CA 95501
Registered Nurse
2200 TYDD ST
EUREKA, CA 95501
Nurse Practitioner
2200 TYDD ST
EUREKA, CA 95501
Pediatrics
2200 TYDD ST
EUREKA, CA 95501
Internal Medicine (Geriatric Medicine)
2200 TYDD ST
EUREKA, CA 95501
Registered Nurse
2200 TYDD ST
EUREKA, CA 95501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelo Alfano's NPI number?

The NPI number for Angelo Alfano is 1023503307. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Angelo Alfano located?

Angelo Alfano practices at 2200 Tydd St, Eureka, CA 95501. The listed phone number is (707) 441-1624.

What is Angelo Alfano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angelo Alfano enrolled in Medicare?

Yes. Angelo Alfano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angelo Alfano was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.