1. Home
  2. Directory
  3. New Mexico
  4. Grants
  5. Nurse Practitioner
  6. NPI Profile

DANIEL EDWARD FENTON II FNP-C
NPI 1093283863
Nurse Practitioner - Family in Grants, NM

Active since November 09, 2018Opted out of Medicare · through Apr 1, 2027CLIA 32D2277060 · Waiver
801 E ROOSEVELT AVE, GRANTS, NM 87020(505) 658-1347(866) 422-1014 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2022, Nov 27, 2018, Nov 9, 2018 (3 updates tracked since 2018).

About Daniel Edward Fenton Ii Fnp-c NPPES

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

DANIEL EDWARD FENTON II FNP-C (NPI 1093283863) is an individual family provider in Grants, New Mexico, licensed in New Mexico (RN-70242) and active in the NPI registry since November 2018. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through February 20, 2027.

NPPES Registry Identity

NPI1093283863
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDANIEL EDWARD FENTON IICredential: FNP-C
Location Address801 E ROOSEVELT AVEGrants, NM 87020-2115
Mailing Address824 Houston AveGrants, NM 87020-3017 · (505) 315-1162
Phone(505) 658-1347
Fax(866) 422-1014
Sole ProprietorNo
Enumeration DateNovember 9, 2018
Last NPPES UpdateOctober 11, 20223 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1093283863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · RN-70242
801 E ROOSEVELT AVE, Grants, NM 87020
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Daniel Edward Fenton Ii Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2277060

Daniel Fenton Fnp · Grants, NM
Active · expires Feb 20, 2027
CLIA Number32D2277060
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorDaniel E. Fenton
Laboratory Phone(505) 658-1347
Laboratory LocationDaniel Fenton Fnp801 E Roosevelt St, Grants, NM 87020
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87020 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims940 services$1.58 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$6.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers79 claims83 services$17.52 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers40 claims40 services$33.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers88 claims92 services$110.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

THUNDERHEART HEALING, LLC
Acupuncturist
801 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 990-8171

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 Daniel Fenton's NPI number?

The NPI number for Daniel Fenton is 1093283863. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Daniel Fenton located?

Daniel Fenton practices at 801 E Roosevelt Ave, Grants, NM 87020. The listed phone number is (505) 658-1347.

What is Daniel Fenton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Daniel Fenton enrolled in Medicare?

No. Daniel Fenton has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Daniel Fenton hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2277060) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Daniel Fenton was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.