DR. LAVON FENDERSON DNP, FNP-BC
NPI 1285040329
Nurse Practitioner - Family in West Columbia, SC
About Dr. Lavon Fenderson Dnp, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LAVON FENDERSON DNP, FNP-BC (NPI 1285040329) is an individual family provider in West Columbia, South Carolina, licensed in South Carolina (18897) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Lavon Fenderson Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Lavon Fenderson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Castle, PA 16105
- Reassigned Medicare billing, Pennsylvania enrollment
- 8 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Colorado and Georgia enrollments
- 26 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Colorado, Florida and Texas enrollments
- 2 clinicians in this Medicare group
Fairfield, NJ 07004
- Reassigned Medicare billing, New York and Pennsylvania enrollments
- 14 clinicians in this Medicare group
Gaylord, MI 49735
- Reassigned Medicare billing, Michigan enrollment
- 62 clinicians in this Medicare group
San Antonio, TX 78251
- Reassigned Medicare billing, Texas enrollment
- 7 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lavon Fenderson's NPI number?
The NPI number for Lavon Fenderson is 1285040329. It was assigned to this individual provider in the NPPES registry on July 9, 2014.
Where is Lavon Fenderson located?
Lavon Fenderson practices at 2858 Sunset Blvd, West Columbia, SC 29169. The listed phone number is (803) 699-9073.
What is Lavon Fenderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lavon Fenderson enrolled in Medicare?
Yes. Lavon Fenderson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lavon Fenderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lavon Fenderson reassigns Medicare benefits to 6 organizations: Richardson Psychiatric Associates,pc (New Castle, PA), Theoria Medical (Novi, MI), Complexcare Medical Group Midwest M PLLC (Novi, MI), Middlesex Psychiatry & Tms PC (Fairfield, NJ), Otsego Physician Services PC (Gaylord, MI) and 1 more organization, listed in the Medicare section above. 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 Lavon Fenderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lavon Fenderson accept?
Health plans from Blue Cross and Blue Shield of Texas list Lavon Fenderson 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.
When was this NPI record last updated?
The NPPES record for Lavon Fenderson was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Lavon Fenderson, DNP, FNP-BC · NPI 1285040329
Family physician in West Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since July 9, 2014.
## Identity
- **NPI:** 1285040329 (Entity type: Individual)
- **Enumerated:** July 9, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 18897 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2858 SUNSET BLVD, West Columbia, SC 29169-3420
- **Phone:** (803) 699-9073
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Richardson Psychiatric Associates,pc (NPI 1124318910, New Castle, PA); Theoria Medical (NPI 1609362375, Novi, MI); Complexcare Medical Group Midwest M PLLC (NPI 1528851607, Novi, MI); Middlesex Psychiatry & Tms PC (NPI 1053971572, Fairfield, NJ); Otsego Physician Services PC (NPI 1346054236, Gaylord, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285040329) · Data from the CMS NPPES public registry.