ALYSSA VIDAL FNP-C
NPI 1245706605
Nurse Practitioner in Hemet, CA

Active since October 23, 2018PECOS EnrolledAccepts Medicare Assignment
3989 W STETSON AVE STE 202, HEMET, CA 92545(951) 652-3558 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2023, Oct 31, 2022, Oct 23, 2018 (3 updates tracked since 2018).

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

NPI1245706605
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALYSSA VIDALCredential: FNP-C
Location Address3989 W STETSON AVE STE 202Hemet, CA 92545-9697
Mailing Address3660 Park Sierra Dr Ste 203Riverside, CA 92505-3071 · (951) 687-3400 · Fax (951) 687-7630
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 23, 2018
Last NPPES UpdateMay 5, 20233 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
NPI 1245706605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95022142
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · Dialysis, PeritonealTaxonomy 163WD1100X · License 95148321 (CA)
Also ListedRegistered Nurse · RehabilitationTaxonomy 163WR0400X · License 95148321 (CA)
3989 W STETSON AVE STE 202, Hemet, CA 92545

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

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.

PECOS PAC ID4183080989
PECOS Enrollment IDI20230522001285
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.

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
41 services29 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
29 services23 patients

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.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 4

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

Internal Medicine (Nephrology)
3989 W STETSON AVE STE 202
HEMET, CA 92545
Nurse Practitioner
3989 W STETSON AVE STE 202
HEMET, CA 92545
Internal Medicine (Nephrology)
3989 W STETSON AVE STE 202
HEMET, CA 92545
Internal Medicine (Nephrology)
3989 W STETSON AVE STE 202
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.

When was this NPI record last updated?

The NPPES record for Alyssa Vidal was last updated on May 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.