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ALVIN MEDALLA TOPACIO RN, MSN, FNP-C
NPI 1609200898
Nurse Practitioner in Fresno, CA

Active since August 25, 2013PECOS EnrolledAccepts Medicare Assignment
2315 E. ILLINOIS AVE., FRESNO, CA 93701(559) 459-4243(559) 459-2407 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alvin Medalla Topacio Rn, Msn, Fnp-c NPPES

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

ALVIN MEDALLA TOPACIO RN, MSN, FNP-C (NPI 1609200898) is an individual nurse practitioner in Fresno, California, licensed in California (NP23565) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1609200898
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameALVIN MEDALLA TOPACIOCredential: RN, MSN, FNP-C
Location Address2315 E. ILLINOIS AVE.Fresno, CA 93701
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 459-4243
Fax(559) 459-2407
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 25, 2013
Last NPPES UpdateJune 23, 2014
✔ NPI 1609200898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP23565
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN701069 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 23565 (CA)
2315 E. ILLINOIS AVE., Fresno, CA 93701
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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

Alvin Medalla Topacio Rn, Msn, Fnp-c 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 ID3375772536
PECOS Enrollment IDI20140210001397
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 Reassignments

2

Medicare enrollment records show Alvin Topacio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Centers, Inc
107 mi
Clinic/Center
200 COTTAGE AVE STE 103
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • 154 clinicians in this Medicare group
NPI 1710211214 (209) 624-5800
Harbor Wound Care P.C.
232 mi
General Practice
1420 E COOLEY DR STE 200D
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 27 clinicians in this Medicare group
NPI 1427922392 (951) 210-7260

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 93701 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.

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
4 suppliers22 claims54 services$2.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Alvin Topacio's NPI number?

The NPI number for Alvin Topacio is 1609200898. It was assigned to this individual provider in the NPPES registry on August 25, 2013.

Where is Alvin Topacio located?

Alvin Topacio practices at 2315 E. Illinois Ave., Fresno, CA 93701. The listed phone number is (559) 459-4243.

What is Alvin Topacio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alvin Topacio enrolled in Medicare?

Yes. Alvin Topacio 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 organizations bill Medicare for Alvin Topacio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alvin Topacio reassigns Medicare benefits to 2 organizations: Community Medical Centers, Inc (Manteca, CA) and Harbor Wound Care P.C. (Colton, CA). Each 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 Alvin Topacio'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 Alvin Topacio was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.