Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA ANN FASANELLA FNP-BC
NPI 1043768682
Nurse Practitioner - Family in Kent, WA

Active since September 12, 2016PECOS Enrolled
219 STATE AVE N # 200, KENT, WA 98030(253) 372-7849(253) 372-7844 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 19, 2024, Apr 19, 2024 and 4 more (7 updates tracked since 2016).

About Angela Ann Fasanella Fnp-bc NPPES

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

ANGELA ANN FASANELLA FNP-BC (NPI 1043768682) is an individual family provider in Kent, Washington, licensed in Washington (ARNP.AP.61153619-NP) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Sentara Northern Virginia Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1043768682
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA ANN FASANELLACredential: FNP-BC
Location Address219 STATE AVE N # 200Kent, WA 98030-4543
Mailing AddressPo Box 5299, Ms: 820-5-pcoTacoma, WA 98415-0299
Fax(253) 372-7844
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 12, 2016
Last NPPES UpdateJuly 13, 20267 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1043768682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in WA · ARNP.AP.61153619-NP Licensed in VA · 0024173959
219 STATE AVE N # 200, Kent, WA 98030

Secondary Practice Locations 3

Location 117739 Main St Ste 110Dumfries, VA 22026-3256 · Phone (703) 574-3415 · Fax (757) 452-5768
Location 214904 Jefferson Davis Hwy Ste 208Woodbridge, VA 22191 · Phone (703) 224-9999 · Fax (571) 384-6702
Location 39009 Silverbrook RdFairfax Station, VA 22039-2607 · Phone (866) 389-2727

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angela Ann Fasanella Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234427709
PECOS Enrollment IDI20190401000093
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98030 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
219 STATE AVE N # 200
KENT, WA 98030

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 Angela Fasanella's NPI number?

The NPI number for Angela Fasanella is 1043768682. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Angela Fasanella located?

Angela Fasanella practices at 219 State Ave N # 200, Kent, WA 98030. The listed phone number is (253) 372-7849.

What is Angela Fasanella's specialty?

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

Is Angela Fasanella enrolled in Medicare?

Yes. Angela Fasanella is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Angela Fasanella affiliated with any hospitals?

According to CMS data, Angela Fasanella is affiliated with Sentara Northern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Angela Fasanella was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.