ALYSSA VIDAL FNP-C
NPI 1245706605
Nurse Practitioner in Hemet, CA
About Alyssa Vidal Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA VIDAL FNP-C (NPI 1245706605) is an individual nurse practitioner in Hemet, California, licensed in California (95022142) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alyssa Vidal Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Alyssa Vidal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 72 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HEMET, CA 92545
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 Alyssa Vidal's NPI number?
The NPI number for Alyssa Vidal is 1245706605. It was assigned to this individual provider in the NPPES registry on October 23, 2018.
Where is Alyssa Vidal located?
Alyssa Vidal practices at 3989 W Stetson Ave Ste 202, Hemet, CA 92545. The listed phone number is (951) 652-3558.
What is Alyssa Vidal's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Alyssa Vidal enrolled in Medicare?
Yes. Alyssa Vidal 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.
Which organization bills Medicare for Alyssa Vidal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Vidal reassigns Medicare benefits to Nephrology Associates Medical Group Inc (Riverside, CA). The 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 Alyssa Vidal'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 Alyssa Vidal was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Alyssa Vidal, FNP-C · NPI 1245706605
Nurse Practitioner physician in Hemet, California. Individual provider, active in the CMS NPPES registry since October 23, 2018.
## Identity
- **NPI:** 1245706605 (Entity type: Individual)
- **Enumerated:** October 23, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95022142 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3989 W STETSON AVE STE 202, Hemet, CA 92545-9697
- **Phone:** (951) 652-3558
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Nephrology Associates Medical Group Inc (NPI 1447200126, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245706605) · Data from the CMS NPPES public registry.