MR. NINO ANTHONY FAJARDO AGACNP-BC
NPI 1174265268
Nurse Practitioner - Acute Care in Land O Lakes, FL
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Nino Anthony Fajardo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 1,719 clinicians in this Medicare group
Tampa, FL 33613
- Reassigned Medicare billing, Florida enrollment
- 1,079 clinicians in this Medicare group
Temple Terrace, FL 33637
- Reassigned Medicare billing, Florida enrollment
- 210 clinicians in this Medicare group
Tampa, FL 33614
- Reassigned Medicare billing, Florida enrollment
- 65 clinicians in this Medicare group
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
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.
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, FLPhysician 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.
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.
Which organizations bill Medicare for Nino Anthony Fajardo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nino Anthony Fajardo reassigns Medicare benefits to 4 organizations: Florida Hospital Physician Group Inc (Tampa, FL), University Medical Service Association Inc (Tampa, FL), Florida Kidney Physicians, LLC (Temple Terrace, FL) and Sage Infusion, LLC (Tampa, FL). 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 Nino Anthony Fajardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nino Anthony Fajardo accept?
Health plans from Oscar Health Maintenance Organization of Florida, UnitedHealthcare and Wellpoint 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 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.
# Mr. Nino Anthony Fajardo, AGACNP-BC · NPI 1174265268
Acute Care physician in Land O Lakes, Florida. Individual provider, active in the CMS NPPES registry since April 10, 2022.
## Identity
- **NPI:** 1174265268 (Entity type: Individual)
- **Enumerated:** April 10, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 11014439 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 24323 PAINTER DR, Land O Lakes, FL 34639-5459
- **Phone:** (863) 409-8812
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Florida Hospital Physician Group Inc (NPI 1174955256, Tampa, FL); University Medical Service Association Inc (NPI 1205876125, Tampa, FL); Florida Kidney Physicians, LLC (NPI 1760831564, Temple Terrace, FL); Sage Infusion, LLC (NPI 1013578442, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 5, 2023
- **Other identifiers:** Other 2B2SJ (FL); Medicaid 114149900 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1174265268) · Data from the CMS NPPES public registry.