1. Home
  2. Directory
  3. Texas
  4. Bastrop
  5. Physician Assistant
  6. NPI Profile

ALYSSA NICOLE FANELLA PA-C
NPI 1619808268
Physician Assistant in Bastrop, TX

Active since May 25, 2026PECOS Enrolled
489 AGNES ST STE 100, BASTROP, TX 78602(512) 321-9091 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alyssa Nicole Fanella Pa-c NPPES

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

ALYSSA NICOLE FANELLA PA-C (NPI 1619808268) is an individual physician assistant in Bastrop, Texas and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619808268
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA NICOLE FANELLACredential: PA-C
Location Address489 AGNES ST STE 100Bastrop, TX 78602-2157
Mailing Address489 Agnes St Ste 100Bastrop, TX 78602-2157 · (512) 321-9091
Phone(512) 321-9091
Sole ProprietorNo
Enumeration DateMay 25, 2026
NPPES CertifiedMay 24, 2026
✔ NPI 1619808268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
489 AGNES ST STE 100, Bastrop, TX 78602
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Nicole Fanella Pa-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78602 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 3

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

MIREYA ADAME APRN
Nurse Practitioner (Family)
489 AGNES ST STE 100
BASTROP, TX 78602
Bastrop County (512) 887-7533
ISABEL MARIA ALVAREZ NP-C
Nurse Practitioner (Family)
489 AGNES ST STE 100
BASTROP, TX 78602
Bastrop County (512) 321-9091
JIHONG KIM NP
Nurse Practitioner (Family)
489 AGNES ST STE 100
BASTROP, TX 78602
Bastrop County (512) 321-9091

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 Alyssa Fanella's NPI number?

The NPI number for Alyssa Fanella is 1619808268. It was assigned to this individual provider in the NPPES registry on May 25, 2026.

Where is Alyssa Fanella located?

Alyssa Fanella practices at 489 Agnes St Ste 100, Bastrop, TX 78602. The listed phone number is (512) 321-9091.

What is Alyssa Fanella's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alyssa Fanella enrolled in Medicare?

Yes. Alyssa Fanella is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Fanella was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.