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MS. NICOLE FANELLI NP
NPI 1306942719
Nurse Practitioner - Family in Culver City, CA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
4700 INGLEWOOD BLVD STE 102, CULVER CITY, CA 90230(818) 606-3565 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1306942719
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. NICOLE FANELLICredential: NP
Location Address4700 INGLEWOOD BLVD STE 102Culver City, CA 90230-5896
Mailing Address4700 Inglewood Blvd Ste 102Culver City, CA 90230-5896 · (818) 606-3565
Phone(818) 606-3565
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2006
Enumeration DateSeptember 15, 2006
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1306942719 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 · 16846
4700 INGLEWOOD BLVD STE 102, Culver City, CA 90230
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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

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.

PECOS PAC ID7719101096
PECOS Enrollment IDI20140605001690
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.

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.

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers18 claims44 services$3.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. REINA RUFO AMILING MD
Family Medicine
4700 INGLEWOOD BLVD STE 102
LOS ANGELES, CA 90230
Los Angeles County (310) 392-8636
SUZANNE E PARRA FNP-C
Nurse Practitioner (Family)
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
ROHITH MOHAN MD
Pediatrics
4700 INGLEWOOD BLVD STE 102
LOS ANGELES, CA 90230
Los Angeles County (310) 392-8636
RITA EVAZYAN
Dentist
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
DR. TRISTEN NGUYEN D.D.S.
Dentist (General Practice)
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
HUNG LE APRN
Nurse Practitioner (Gerontology)
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
VENICE FAMILY - STORE 3
Pharmacy (Community/Retail Pharmacy)
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (310) 664-7757
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
4700 INGLEWOOD BLVD STE 102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636

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.

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.