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STEPHANIE LYNN FANOUS NP
NPI 1306344122
Nurse Practitioner - Family in Hawthorne, CA

Active since January 26, 2018PECOS EnrolledAccepts Medicare Assignment
5400 W ROSECRANS AVE STE 100, HAWTHORNE, CA 90250(310) 643-8500 Get Directions Write a Review

NPPES record last updated: December 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Lynn Fanous Np NPPES

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

STEPHANIE LYNN FANOUS NP (NPI 1306344122) is an individual family provider in Hawthorne, California, licensed in California (95008438) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in El Segundo, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306344122
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE LYNN FANOUSCredential: NP
Location Address5400 W ROSECRANS AVE STE 100Hawthorne, CA 90250-6686
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(310) 643-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 26, 2018
Last NPPES UpdateDecember 14, 2025
NPPES CertifiedDecember 14, 2025
✔ NPI 1306344122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95008438
5400 W ROSECRANS AVE STE 100, Hawthorne, CA 90250
Open in Google Maps ↗

Secondary Practice Location 1

Location 12175 Park PlEl Segundo, CA 90245-4705 · Phone (310) 354-4318

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

Stephanie Lynn Fanous Np 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 ID9436236296
PECOS Enrollment IDI20180323001409
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 90250 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 5

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

DR. ALECSANDRA OLESE ROBERTS M.D.
Family Medicine
5400 W ROSECRANS AVE STE 100
HAWTHORNE, CA 90250
Los Angeles County (310) 643-8500
DR. MICHAEL LAWRENCE GENOVA M.D.
Family Medicine
5400 W ROSECRANS AVE STE 100
HAWTHORNE, CA 90250
Los Angeles County (310) 643-8500
ASHLEY DANIELS PA-C, MPH
Physician Assistant
5400 W ROSECRANS AVE STE 100
HAWTHORNE, CA 90250
Los Angeles County (310) 643-8500
VIRAJ BAKUL PATEL DO
Internal Medicine (Sports Medicine)
5400 W ROSECRANS AVE STE 100
HAWTHORNE, CA 90250
Los Angeles County (310) 643-8500
DR. RAFIK A SHEREEN MD
Internal Medicine
5400 W ROSECRANS AVE STE 100
HAWTHORNE, CA 90250
Los Angeles County (310) 643-8500

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 Stephanie Fanous's NPI number?

The NPI number for Stephanie Fanous is 1306344122. It was assigned to this individual provider in the NPPES registry on January 26, 2018.

Where is Stephanie Fanous located?

Stephanie Fanous practices at 5400 W Rosecrans Ave Ste 100, Hawthorne, CA 90250. The listed phone number is (310) 643-8500.

What is Stephanie Fanous's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephanie Fanous enrolled in Medicare?

Yes. Stephanie Fanous 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.

When was this NPI record last updated?

The NPPES record for Stephanie Fanous was last updated on December 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.