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Active NPI 1619808268 Individual Practitioner Female Practitioner

Alyssa Nicole Fanella , PA-C

Physician Assistant • Bastrop, TX

Professional Overview & Biography Verified Profile Summary

Alyssa Fanella, PA-C is a registered healthcare professional specializing in Physician Assistant in Bastrop, TX. Practice services are available at 489 AGNES ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

489 Agnes St Ste 100

Bastrop, TX 786022157

Telephone 5123219091
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bastrop, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Bastrop, TX (11140 Statewide)

Telehealth Adoption Rate
21.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Rajeev Gupta , MD

Internal Medicine

NPI 1417936261

Doctor of Medicine (M.D.)

Isabel Alvarez , NP-C

Nurse Practitioner - Family

NPI 1700450210

Nurse Practitioner (Certified)

Jihong Kim , NP

Nurse Practitioner - Family

NPI 1770134025

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 25, 2026

NPI status registered as active in NPPES database

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Updated Practice Location May 25, 2026

Registered at 489 AGNES ST STE 100, BASTROP, TX 786022157 (Tel: 5123219091)

📍
Updated Business Mailing Address May 25, 2026

Registered at 489 AGNES ST STE 100, BASTROP, TX 786022157 (Tel: 5123219091)

👤
Provider Name / Credentials Updated May 25, 2026

Recorded as ALYSSA FANELLA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2026

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 25, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619808268
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2026
Last Update: May 25, 2026
Sole Proprietor: No

Mailing Address

489 Agnes St Ste 100

Bastrop, TX 786022157

Phone: 5123219091

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.