MR. DAVID ANTHONY FALL FNP-C
NPI 1407159510
Nurse Practitioner - Family in Modesto, CA

Active since December 10, 2010PECOS Enrolled
1224 SCENIC DR, MODESTO, CA 95350(209) 442-6077(209) 436-1310 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2026, Jan 3, 2025, May 17, 2024 (3 updates tracked since 2024).

About Mr. David Anthony Fall Fnp-c NPPES

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

MR. DAVID ANTHONY FALL FNP-C (NPI 1407159510) is an individual family provider in Modesto, California, licensed in California (20581) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407159510
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DAVID ANTHONY FALLCredential: FNP-C
Location Address1224 SCENIC DRModesto, CA 95350-6137
Mailing Address1224 Scenic DrModesto, CA 95350-6137 · (209) 442-6077 · Fax (209) 436-1310
Fax(209) 436-1310
Sole ProprietorNo
Enumeration DateDecember 10, 2010
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1407159510 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 · 20581
1224 SCENIC DR, Modesto, CA 95350

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Anthony Fall Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 David Fall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
12900 PARK PLAZA DR, STE 700, MS-7110
Cerritos, CA 90703
  • Reassigned Medicare billing, California enrollment
  • 235 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 95350 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.

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.

Family Medicine
1224 SCENIC DR
MODESTO, CA 95350
Internal Medicine
1224 SCENIC DR
MODESTO, CA 95350
Internal Medicine
1224 SCENIC DR
MODESTO, CA 95350
Nurse Practitioner
1224 SCENIC DR
MODESTO, CA 95350
Nurse Practitioner (Family)
1224 SCENIC DR
MODESTO, CA 95350
Nurse Practitioner (Family)
1224 SCENIC DR
MODESTO, CA 95350
Occupational Therapist
1224 SCENIC DR
MODESTO, CA 95350
Nurse Practitioner
1224 SCENIC DR
MODESTO, CA 95350

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 David Fall's NPI number?

The NPI number for David Fall is 1407159510. It was assigned to this individual provider in the NPPES registry on December 10, 2010.

Where is David Fall located?

David Fall practices at 1224 Scenic Dr, Modesto, CA 95350. The listed phone number is (209) 442-6077.

What is David Fall's specialty?

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

Is David Fall enrolled in Medicare?

Yes. David Fall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Fall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Fall reassigns Medicare benefits to Albion Medical Partners Of California West P C (Cerritos, 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 David Fall'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 David Fall was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.