MR. NINO ANTHONY FAJARDO AGACNP-BC
NPI 1174265268
Nurse Practitioner - Acute Care in Land O Lakes, FL

Active since April 10, 2022PECOS EnrolledAccepts Medicare Assignment
24323 PAINTER DR, LAND O LAKES, FL 34639(863) 409-8812 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2023, Apr 10, 2022 (2 updates tracked since 2022).

About Mr. Nino Anthony Fajardo Agacnp-bc NPPES

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

MR. NINO ANTHONY FAJARDO AGACNP-BC (NPI 1174265268) is an individual acute care provider in Land O Lakes, Florida, licensed in Florida (11014439) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1174265268
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. NINO ANTHONY FAJARDOCredential: AGACNP-BC
Location Address24323 PAINTER DRLand O Lakes, FL 34639-5459
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 821-8038 · Fax (813) 974-0483
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 10, 2022
Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
NPI 1174265268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in FL · 11014439
24323 PAINTER DR, Land O Lakes, FL 34639

Secondary Practice Location 1

Location 12 Tampa General CirTampa, FL 33606-3571 · Phone (813) 821-8038 · Fax (813) 974-0483

Other Identifiers 2

Other2B2SJFL · Bcbs
Medicaid114149900FL

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

Mr. Nino Anthony Fajardo Agacnp-bc 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.

PECOS PAC ID4880073220
PECOS Enrollment IDI20220615002268
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.

Areas of Expertise CMS Part B claims

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.

Insertion of needle or tube into artery of arm or leg 36140
This procedure involves inserting a needle or a small tube into an artery in your arm or leg. It's typically done to monitor blood pressure, take blood samples, or administer medication. You may feel a small prick or pressure. It's generally safe with minimal discomfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34639 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Nino Anthony Fajardo's NPI number?

The NPI number for Nino Anthony Fajardo is 1174265268. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Nino Anthony Fajardo located?

Nino Anthony Fajardo practices at 24323 Painter Dr, Land O Lakes, FL 34639. The listed phone number is (863) 409-8812.

What is Nino Anthony Fajardo's specialty?

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

Is Nino Anthony Fajardo enrolled in Medicare?

Yes. Nino Anthony 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 Nino Anthony Fajardo accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Nino Anthony 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 Nino Anthony Fajardo affiliated with any hospitals?

According to CMS data, Nino Anthony Fajardo is affiliated with Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Nino Anthony Fajardo was last updated on September 5, 2023. 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.