MISS ANNA OLIVIA FRAGOSO-NINO C-PNP
NPI 1124447313
Nurse Practitioner - Pediatrics in Victorville, CA

Q: What is Anna Olivia Fragoso-nino's NPI number?

The NPI number for Anna Olivia Fragoso-nino is 1124447313. It was assigned to this individual provider in the NPPES registry on April 15, 2014. The provider is also known as Anna O Fragoso.

Q: What is Anna Olivia Fragoso-nino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since April 15, 2014PECOS Enrolled

14446 TAWNEY RIDGE LN, VICTORVILLE, CA 92394(760) 221-4726 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Anna Olivia Fragoso-nino C-pnp NPPES

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

MISS ANNA OLIVIA FRAGOSO-NINO C-PNP (NPI 1124447313) is an individual pediatrics provider in Victorville, California, licensed in California (21714) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124447313

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMISS ANNA OLIVIA FRAGOSO-NINOCredential: C-PNP

Location Address14446 TAWNEY RIDGE LNVictorville, CA 92394-3210

Mailing Address14446 Tawney Ridge LnVictorville, CA 92394-3210 · (760) 221-4726

Phone(760) 221-4726

Sole ProprietorNo

Enumeration DateApril 15, 2014

Last NPPES UpdateMarch 28, 2022

NPPES CertifiedMarch 28, 2022

✔ NPI 1124447313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 21714

14446 TAWNEY RIDGE LN, Victorville, CA 92394

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Other Names 1

Former Name (1)Anna O Fragoso

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Anna Olivia Fragoso-nino C-pnp 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 92394 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 Anna Olivia Fragoso-nino's NPI number?

The NPI number for Anna Olivia Fragoso-nino is 1124447313. It was assigned to this individual provider in the NPPES registry on April 15, 2014. The provider is also known as Anna O Fragoso.

Where is Anna Olivia Fragoso-nino located?

Anna Olivia Fragoso-nino practices at 14446 Tawney Ridge Ln, Victorville, CA 92394. The listed phone number is (760) 221-4726.

What is Anna Olivia Fragoso-nino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Anna Olivia Fragoso-nino enrolled in Medicare?

Yes. Anna Olivia Fragoso-nino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anna Olivia Fragoso-nino was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.