GUDALIA FAJARDO
NPI 1083019012
Nurse Practitioner - Family in Port Huron, MI
About Gudalia Fajardo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUDALIA FAJARDO (NPI 1083019012) is an individual family provider in Port Huron, Michigan, licensed in Michigan (4704267837) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Gudalia Fajardo 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lake Huron Medical Center
Acute Care Hospitals · Port Huron, MIMclaren Port Huron
Acute Care Hospitals · Port Huron, MIDeckerville Community Hospital
Critical Access Hospitals · Deckerville, MIHarbor Beach Community Hospital
Critical Access Hospitals · Harbor Beach, MIMckenzie Health System
Critical Access Hospitals · Sandusky, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT HURON, MI 48060
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 Gudalia Fajardo's NPI number?
The NPI number for Gudalia Fajardo is 1083019012. It was assigned to this individual provider in the NPPES registry on November 4, 2014.
Where is Gudalia Fajardo located?
Gudalia Fajardo practices at 2603 Electric Ave Ste 1, Port Huron, MI 48060. The listed phone number is (810) 987-5252.
What is Gudalia Fajardo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gudalia Fajardo enrolled in Medicare?
Yes. Gudalia Fajardo 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.
What insurance does Gudalia Fajardo accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Gudalia Fajardo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Gudalia Fajardo affiliated with any hospitals?
According to CMS data, Gudalia Fajardo is affiliated with Lake Huron Medical Center, Mclaren Port Huron, Deckerville Community Hospital, Harbor Beach Community Hospital and Mckenzie Health System.
When was this NPI record last updated?
The NPPES record for Gudalia Fajardo was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Gudalia Fajardo · NPI 1083019012
Family physician in Port Huron, Michigan. Individual provider, active in the CMS NPPES registry since November 4, 2014.
## Identity
- **NPI:** 1083019012 (Entity type: Individual)
- **Enumerated:** November 4, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704267837 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2603 ELECTRIC AVE STE 1, Port Huron, MI 48060-6588
- **Phone:** (810) 987-5252 · **Fax:** (810) 987-2120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 17, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1083019012) · Data from the CMS NPPES public registry.