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LAWANDA S FANTROY
NPI 1093272874
Nurse Practitioner - Acute Care in Mobile, AL

Active since February 27, 2019PECOS Enrolled
83.85/100
CMS Quality Rating
1700 SPRING HILL AVE STE 100, MOBILE, AL 36604(251) 435-1200 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lawanda S Fantroy NPPES

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

LAWANDA S FANTROY (NPI 1093272874) is an individual acute care provider in Mobile, Alabama, licensed in Alabama (1-122621) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093272874
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLAWANDA S FANTROY
Location Address1700 SPRING HILL AVE STE 100Mobile, AL 36604-1416
Mailing Address4361 Terrace DrMoss Point, MS 39563-5635 · (228) 235-6015
Phone(251) 435-1200
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 27, 2019
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1093272874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-122621
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 20629 (MN)
1700 SPRING HILL AVE STE 100, Mobile, AL 36604
Open in Google Maps ↗

Secondary Practice Location 1

Location 12925 Chicago AveMinneapolis, MN 55407-1321 · Phone (612) 262-9000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lawanda S Fantroy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264773787
PECOS Enrollment IDI20190410002927, I20260402000419
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

6

Medicare enrollment records show Lawanda Fantroy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Imc-Diagnostic And Medical Clinic LLC
Same address
Internal Medicine
1700 SPRINGHILL AVE, SUITE 100
Mobile, AL 36604
  • Reassigned Medicare billing, Alabama enrollment
  • 210 clinicians in this Medicare group
NPI 1447201066 (251) 435-1200
H & W Sleep PLLC Dba Frontier Sleep And Wellness
580 mi
Sleep Medicine
4009 BANISTER LN STE 370
Austin, TX 78704
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1891590394 (512) 215-4350
Allina Health System
979 mi
Family Medicine
100 STATE AVE
Faribault, MN 55021
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
NPI 1013213826 (507) 334-3921
Happy Health Anchor PA
1,018 mi
Sleep Medicine
6063 HUDSON RD STE 300
Woodbury, MN 55125
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1982566162 (512) 866-1812
Happy Health PLLC
1,021 mi
Sleep Medicine
1385 PHALEN BLVD
Saint Paul, MN 55106
  • Reassigned Medicare billing, Minnesota and Texas enrollments
  • 17 clinicians in this Medicare group
NPI 1326426818 (612) 819-0597
Gem Health Specialty Sleep Services PA
1,028 mi
Sleep Disorder Diagnostic
2214 5TH ST STE 5
White Bear Lake, MN 55110
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1699459883 (833) 946-4436

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
55 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36604 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability81
Improvement Activities40

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.

MISS CARMEN LOPEZ M.D.
Internal Medicine (Gastroenterology)
1700 SPRING HILL AVE STE 100
MOBILE, AL 36604
Mobile County (251) 435-1200
DR. CHRISTOPHER CHAUVIN MD
Internal Medicine
1700 SPRING HILL AVE STE 100
MOBILE, AL 36604
Mobile County (251) 435-1200
DR. GABRIEL ALEJANDRO BOLANOS GUZMAN MD
Internal Medicine (Gastroenterology)
1700 SPRING HILL AVE STE 100
MOBILE, AL 36604
Mobile County (251) 435-1200
NICHOLAS HUGH BARLOW
Nurse Practitioner (Family)
1700 SPRING HILL AVE STE 100
MOBILE, AL 36604
Mobile County (251) 435-1200
PHILLIP HENDERSON D.O.
Internal Medicine (Hepatology)
1700 SPRING HILL AVE STE 100
MOBILE, AL 36604
Mobile County (251) 435-1200
DR. JERRY ALLAN BANKS JR. M.D.
Internal Medicine
1700 SPRING HILL AVE STE 100
MOBILE, AL 36604
Mobile County (251) 435-1200
LAUREN MICHELLE BENDER CRNP
Nurse Practitioner (Acute Care)
1700 SPRING HILL AVE STE 100
MOBILE, AL 36604
Mobile County (251) 435-1200
SHILPA GADDE M.D.
Internal Medicine (Critical Care Medicine)
1700 SPRING HILL AVE STE 100
MOBILE, AL 36604
Mobile County (251) 435-1200

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 Lawanda Fantroy's NPI number?

The NPI number for Lawanda Fantroy is 1093272874. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Where is Lawanda Fantroy located?

Lawanda Fantroy practices at 1700 Spring Hill Ave Ste 100, Mobile, AL 36604. The listed phone number is (251) 435-1200.

What is Lawanda Fantroy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lawanda Fantroy enrolled in Medicare?

Yes. Lawanda Fantroy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lawanda Fantroy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawanda Fantroy reassigns Medicare benefits to 6 organizations: Imc-Diagnostic And Medical Clinic LLC (Mobile, AL), H & W Sleep PLLC Dba Frontier Sleep And Wellness (Austin, TX), Allina Health System (Faribault, MN), Happy Health Anchor PA (Woodbury, MN), Happy Health PLLC (Saint Paul, MN) and 1 more organization, listed in the Medicare section above. 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 Lawanda Fantroy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawanda Fantroy accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Lawanda Fantroy 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.

When was this NPI record last updated?

The NPPES record for Lawanda Fantroy was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.