PETRINE FARDETTE PA C
NPI 1205858719
Physician Assistant - Surgical in Fort Lauderdale, FL

Q: What is Petrine Fardette's NPI number?

The NPI number for Petrine Fardette is 1205858719. It was assigned to this individual provider in the NPPES registry on July 24, 2006. The provider is also known as Petrine Hinrichsen.

Q: What is Petrine Fardette's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Petrine Fardette was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 24, 2006PECOS Enrolled

3000 BAYVIEW DR, FORT LAUDERDALE, FL 33306(954) 567-1332(954) 537-7705 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Petrine Fardette Pa C NPPES

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

PETRINE FARDETTE PA C (NPI 1205858719) is an individual surgical provider in Fort Lauderdale, Florida, licensed in Florida (PA3368) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Palm Beach Gardens.

NPPES Registry Identity

NPI1205858719

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NamePETRINE FARDETTECredential: PA C

Location Address3000 BAYVIEW DRFort Lauderdale, FL 33306-1772

Mailing Address3000 Bayview DrFort Lauderdale, FL 33306-1772 · (954) 567-1332 · Fax (954) 537-7705

Phone(954) 567-1332

Fax(954) 537-7705

Sole ProprietorNo

Enumeration DateJuly 24, 2006

Last NPPES UpdateOctober 8, 2019

✔ NPI 1205858719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA3368

Also ListedPhysician AssistantTaxonomy 363A00000X · License ME0044395 (FL)

3000 BAYVIEW DR, Fort Lauderdale, FL 33306

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Other Names 1

Former Name (1)Petrine Hinrichsen

Secondary Practice Location 1

Location 13401 Pga Blvd, Suite 500Palm Beach Gardens, FL 33410-2823 · Phone (561) 694-7776 · Fax (561) 776-8486

Other Identifiers 1

Medicaid290935900FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petrine Fardette Pa C 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.

Other Providers at the Same Location NPPES 8

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

BLUE WATER PAIN SOLUTIONS, PA

Anesthesiology (Pain Medicine)

3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306

Broward County (954) 447-5206

MACKENZIE AUSTIN MINNICK PA-C

Physician Assistant

3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306

Broward County (954) 567-1332

GABRIELLA ZURINA LOPEZ

Physician Assistant

3000 BAYVIEW DR
FT LAUDERDALE, FL 33306

Broward County (954) 567-1332

MR. AARON RICHARD SANTISO MPT, PES, CLT

Physical Therapist

3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306

Broward County (954) 533-5543

MARIE-ALTAGRACE VANESSA GERMAIN

Nurse Practitioner (Family)

3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306

Broward County (954) 567-1332

AUSTIN BRUHL DPT

Physical Therapist

3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306

Broward County (954) 533-5543

MS. LAUREN JENNIE WINSTEN PA-C

Physician Assistant

3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306

Broward County (954) 567-1332

CANTOR SPINE INSTITUTE LLC

Orthopaedic Surgery

3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306

Broward County (954) 567-1332

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 Petrine Fardette's NPI number?

The NPI number for Petrine Fardette is 1205858719. It was assigned to this individual provider in the NPPES registry on July 24, 2006. The provider is also known as Petrine Hinrichsen.

Where is Petrine Fardette located?

Petrine Fardette practices at 3000 Bayview Dr, Fort Lauderdale, FL 33306. The listed phone number is (954) 567-1332.

What is Petrine Fardette's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Petrine Fardette enrolled in Medicare?

Yes. Petrine Fardette is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Petrine Fardette was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.