ANGELO JOHN ALFANO FNP
NPI 1023503307
Nurse Practitioner - Family in Eureka, CA
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
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angelo John Alfano Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Angelo Alfano reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eureka, CA 95501
- Reassigned Medicare billing, California enrollment
- 175 clinicians in this Medicare group
Lakeport, CA 95453
- Reassigned Medicare billing, California enrollment
- 59 clinicians in this Medicare group
Clearlake, CA 95422
- Reassigned Medicare billing, California enrollment
- 182 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organizations bill Medicare for Angelo Alfano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angelo Alfano reassigns Medicare benefits to 3 organizations: Open Door Community Health Centers (Eureka, CA), Lake County Tribal Health Consortium Inc. (Lakeport, CA) and Adventist Health Clearlake Hospital Inc. (Clearlake, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelo Alfano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 23 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.
# Angelo John Alfano, FNP · NPI 1023503307
Family physician in Eureka, California. Individual provider, active in the CMS NPPES registry since June 28, 2018.
## Identity
- **NPI:** 1023503307 (Entity type: Individual)
- **Enumerated:** June 28, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95009941 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 TYDD ST, Eureka, CA 95501-1284
- **Phone:** (707) 441-1624
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Open Door Community Health Centers (NPI 1669569109, Eureka, CA); Lake County Tribal Health Consortium Inc. (NPI 1881697381, Lakeport, CA); Adventist Health Clearlake Hospital Inc. (NPI 1124018031, Clearlake, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** October 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1023503307) · Data from the CMS NPPES public registry.