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AFRIELLE FONDEVILLA NP
NPI 1477010510
Nurse Practitioner - Adult Health in West Covina, CA

Active since February 25, 2019PECOS EnrolledAccepts Medicare Assignment
1900 W GARVEY AVE S STE 166, WEST COVINA, CA 91790(626) 960-1402 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2020, Aug 27, 2019, Jul 13, 2019 and 1 more (4 updates tracked since 2019).

About Afrielle Fondevilla Np NPPES

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

AFRIELLE FONDEVILLA NP (NPI 1477010510) is an individual adult health provider in West Covina, California, licensed in California (95010453) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477010510
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAFRIELLE FONDEVILLACredential: NP
Location Address1900 W GARVEY AVE S STE 166West Covina, CA 91790-2653
Mailing Address1900 W Garvey Ave S Ste 166West Covina, CA 91790-2653 · (626) 960-1402
Phone(626) 960-1402
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 25, 2019
Last NPPES UpdateSeptember 21, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2020
✔ NPI 1477010510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95010453
1900 W GARVEY AVE S STE 166, West Covina, CA 91790
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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

Afrielle Fondevilla 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 ID1850760216
PECOS Enrollment IDI20221207002533
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 91790 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.

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 Afrielle Fondevilla's NPI number?

The NPI number for Afrielle Fondevilla is 1477010510. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Afrielle Fondevilla located?

Afrielle Fondevilla practices at 1900 W Garvey Ave S Ste 166, West Covina, CA 91790. The listed phone number is (626) 960-1402.

What is Afrielle Fondevilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Afrielle Fondevilla enrolled in Medicare?

Yes. Afrielle Fondevilla 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 Afrielle Fondevilla was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.