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FANISKA MASSILLON
NPI 1093338733
Nurse Practitioner - Family in Norcross, GA

Active since May 27, 2020PECOS Enrolled
PO BOX 920095, NORCROSS, GA 30010(407) 308-9573 Get Directions Write a Review

NPPES record last updated: January 26, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 4, 2021, May 27, 2020 (2 updates tracked since 2020).

About Faniska Massillon NPPES

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

FANISKA MASSILLON (NPI 1093338733) is an individual family provider in Norcross, Georgia, licensed in New York (F346372-01) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093338733
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFANISKA MASSILLON
Location AddressPO BOX 920095Norcross, GA 30010-0095
Mailing AddressPo Box 920095Norcross, GA 30010-0095 · (407) 308-9573
Phone(407) 308-9573
Sole ProprietorYes
Enumeration DateMay 27, 2020
Last NPPES UpdateJanuary 26, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2025
✔ NPI 1093338733 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
Licenses✔ Licensed in NY · F346372-01✔ Licensed in CA · 95030305✔ Licensed in FL · APRN11006594
PO BOX 920095, Norcross, GA 30010
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faniska Massillon 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 30010 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Faniska Massillon's NPI number?

The NPI number for Faniska Massillon is 1093338733. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Where is Faniska Massillon located?

Faniska Massillon practices at PO Box 920095, Norcross, GA 30010. The listed phone number is (407) 308-9573.

What is Faniska Massillon's specialty?

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

Is Faniska Massillon enrolled in Medicare?

Yes. Faniska Massillon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Faniska Massillon was last updated on January 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.