MS. NICOLE FANELLI NP
NPI 1306942719
Nurse Practitioner - Family in Culver City, CA
About Ms. Nicole Fanelli Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NICOLE FANELLI NP (NPI 1306942719) is an individual family provider in Culver City, California, licensed in California (16846) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Nicole Fanelli Np 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 Nicole Fanelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Culver City, CA 90230
- Reassigned Medicare billing, California enrollment
- 147 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 90230 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
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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CULVER CITY, CA 90230
CULVER CITY, CA 90230
CULVER CITY, CA 90230
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 Nicole Fanelli's NPI number?
The NPI number for Nicole Fanelli is 1306942719. It was assigned to this individual provider in the NPPES registry on September 15, 2006.
Where is Nicole Fanelli located?
Nicole Fanelli practices at 4700 Inglewood Blvd Ste 102, Culver City, CA 90230. The listed phone number is (818) 606-3565.
What is Nicole Fanelli's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Fanelli enrolled in Medicare?
Yes. Nicole Fanelli 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 Nicole Fanelli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Fanelli reassigns Medicare benefits to Venice Family Clinic (Culver City, 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 Nicole Fanelli'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 Nicole Fanelli was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ms. Nicole Fanelli, NP · NPI 1306942719
Family physician in Culver City, California. Individual provider, active in the CMS NPPES registry since September 15, 2006.
## Identity
- **NPI:** 1306942719 (Entity type: Individual)
- **Enumerated:** September 15, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 16846 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4700 INGLEWOOD BLVD STE 102, Culver City, CA 90230-5896
- **Phone:** (818) 606-3565
## 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:** Venice Family Clinic (NPI 1003842360, Culver City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Un Of California, Irvine, College Of Medicine, class of 2006
## Record status
- **NPPES last updated:** February 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1306942719) · Data from the CMS NPPES public registry.