MRS. JUSTINE ELISE DELLA FAVE MSN, CNM, WHNP-BC
NPI 1487108957
Nurse Practitioner - Women's Health in San Mateo, CA

Active since August 12, 2016PECOS EnrolledAccepts Medicare Assignment
222 W 39TH AVE, SAN MATEO, CA 94403(973) 655-4361 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 1, 2021, Jun 21, 2018, Aug 30, 2016 and 1 more (4 updates tracked since 2016).

About Mrs. Justine Elise Della Fave Msn, Cnm, Whnp-bc NPPES

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

MRS. JUSTINE ELISE DELLA FAVE MSN, CNM, WHNP-BC (NPI 1487108957) is an individual women's health provider in San Mateo, California, licensed in California (95006045) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487108957
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. JUSTINE ELISE DELLA FAVECredential: MSN, CNM, WHNP-BC
Location Address222 W 39TH AVESan Mateo, CA 94403-4364
Mailing Address222 W 39th AveSan Mateo, CA 94403-4364
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 12, 2016
Last NPPES UpdateFebruary 1, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1487108957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in CA · 95006045✔ Licensed in NJ · 26NJ00722400
222 W 39TH AVE, San Mateo, CA 94403

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

Mrs. Justine Elise Della Fave Msn, Cnm, Whnp-bc 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 ID5991124356
PECOS Enrollment IDI20201005000233
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 Justine Della Fave reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
222 W 39TH AVE
San Mateo, CA 94403
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1114005105 (California)
  • 430 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 94403 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

Psychologist (Clinical)
222 W 39TH AVE
SAN MATEO, CA 94403
General Acute Care Hospital
222 W 39TH AVE
SAN MATEO, CA 94403
Dermatology
222 W 39TH AVE
SAN MATEO, CA 94403
Clinic/Center
222 W 39TH AVE
SAN MATEO, CA 94403
Obstetrics & Gynecology
222 W 39TH AVE
SAN MATEO, CA 94403
Counselor
222 W 39TH AVE
SAN MATEO, CA 94403
Physical Medicine & Rehabilitation
222 W 39TH AVE
SAN MATEO, CA 94403
Registered Nurse
222 W 39TH AVE
SAN MATEO, CA 94403

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 Justine Della Fave's NPI number?

The NPI number for Justine Della Fave is 1487108957. It was assigned to this individual provider in the NPPES registry on August 12, 2016.

Where is Justine Della Fave located?

Justine Della Fave practices at 222 W 39th Ave, San Mateo, CA 94403. The listed phone number is (973) 655-4361.

What is Justine Della Fave's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Justine Della Fave enrolled in Medicare?

Yes. Justine Della Fave 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 Justine Della Fave's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justine Della Fave reassigns Medicare benefits to County Of San Mateo (San Mateo, 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 Justine Della Fave'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 Justine Della Fave was last updated on February 1, 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.