MRS. ANDREA AVALOS PIGUILLEM MSN, FNP
NPI 1285134148
Nurse Practitioner - Family in Fountain Valley, CA

Active since February 17, 2018PECOS EnrolledAccepts Medicare Assignment
11190 WARNER AVE, FOUNTAIN VALLEY, CA 92708(714) 430-1414 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 1, 2021, Feb 17, 2018 (2 updates tracked since 2018).

About Mrs. Andrea Avalos Piguillem Msn, Fnp NPPES

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

MRS. ANDREA AVALOS PIGUILLEM MSN, FNP (NPI 1285134148) is an individual family provider in Fountain Valley, California, licensed in California (NP95008425) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285134148
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANDREA AVALOS PIGUILLEMCredential: MSN, FNP
Location Address11190 WARNER AVEFountain Valley, CA 92708-4019
Mailing Address2235 E Locust AveOrange, CA 92867-6132 · (909) 732-3450
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 17, 2018
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
✔ NPI 1285134148 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
License✔ Licensed in CA · NP95008425
11190 WARNER AVE, Fountain Valley, CA 92708

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

Mrs. Andrea Avalos Piguillem Msn, Fnp 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 ID4385977313
PECOS Enrollment IDI20190606001875
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Piguillem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 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 92708 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

Neurological Surgery
11190 WARNER AVE, SUITE 305
FOUNTAIN VALLEY, CA 92708
Physiological Laboratory
11190 WARNER AVE, SUITE 401
FOUNTAIN VALLEY, CA 92708
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
11190 WARNER AVE, SUITE 306
FOUNTAIN VALLEY, CA 92708
Physician Assistant (Surgical)
11190 WARNER AVE, SUITE 300
FOUNTAIN VALLEY, CA 92708
Clinic/Center (Ambulatory Surgical)
11190 WARNER AVE, SUITE 212
FOUNTAIN VALLEY, CA 92708
Physician Assistant (Surgical)
11190 WARNER AVE, SUITE 305
FOUNTAIN VALLEY, CA 92708
Pediatrics (Pediatric Hematology-Oncology)
11190 WARNER AVE, SUITE 307
FOUNTAIN VALLEY, CA 92708
Orthopaedic Surgery
11190 WARNER AVE, SUITE 310
FOUNTAIN VALLEY, CA 92708

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 Andrea Piguillem's NPI number?

The NPI number for Andrea Piguillem is 1285134148. It was assigned to this individual provider in the NPPES registry on February 17, 2018.

Where is Andrea Piguillem located?

Andrea Piguillem practices at 11190 Warner Ave, Fountain Valley, CA 92708. The listed phone number is (714) 430-1414.

What is Andrea Piguillem's specialty?

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

Is Andrea Piguillem enrolled in Medicare?

Yes. Andrea Piguillem 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 Andrea Piguillem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Piguillem reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, 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 Andrea Piguillem'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 Andrea Piguillem was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.