EDGAR ALBINO BOTELLO NP
NPI 1376164210
Nurse Practitioner - Family in Fresno, CA

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
6730 N WEST AVE, FRESNO, CA 93711(559) 439-3000(559) 439-3004 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgar Albino Botello Np NPPES

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

EDGAR ALBINO BOTELLO NP (NPI 1376164210) is an individual family provider in Fresno, California, licensed in California (NP95014495) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376164210
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEDGAR ALBINO BOTELLOCredential: NP
Location Address6730 N WEST AVEFresno, CA 93711-4301
Mailing Address6730 N West AveFresno, CA 93711-4301 · (559) 439-3000 · Fax (559) 439-3004
Fax(559) 439-3004
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 1, 2020
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
NPI 1376164210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP95014495
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP95014495 (CA)
6730 N WEST AVE, Fresno, CA 93711

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

Edgar Albino Botello 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 ID8527499847
PECOS Enrollment IDI20200520001646
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93711 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.24
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner
6730 N WEST AVE
FRESNO, CA 93711
Dermatology (MOHS-Micrographic Surgery)
6730 N WEST AVE
FRESNO, CA 93711
Physician Assistant
6730 N WEST AVE
FRESNO, CA 93711
Nurse Practitioner (Primary Care)
6730 N WEST AVE
FRESNO, CA 93711
Dermatology
6730 N WEST AVE
FRESNO, CA 93711
Dermatology
6730 N WEST AVE
FRESNO, CA 93711
Nurse Practitioner (Family)
6730 N WEST AVE
FRESNO, CA 93711
Dermatology
6730 N WEST AVE
FRESNO, CA 93711

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 Edgar Botello's NPI number?

The NPI number for Edgar Botello is 1376164210. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Edgar Botello located?

Edgar Botello practices at 6730 N West Ave, Fresno, CA 93711. The listed phone number is (559) 439-3000.

What is Edgar Botello's specialty?

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

Is Edgar Botello enrolled in Medicare?

Yes. Edgar Botello 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 Edgar Botello was last updated on August 2, 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.