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

Active since January 26, 2018PECOS Enrolled
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: October 18, 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 and maintains a secondary practice location in El Segundo.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Lynn Fanous Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stephanie Fanous reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthcare Partners Affiliates Medical Group
11 mi
Internal Medicine
1120 W WASHINGTON BLVD
Los Angeles, CA 90015
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1659312593 (213) 623-2225
Centers For Family Medicine Gp
19 mi
Family Medicine
3460 KATELLA AVE
Los Alamitos, CA 90720
  • Reassigned Medicare billing, California enrollment
  • 228 clinicians in this Medicare group
NPI 1467598243 (562) 594-6599

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 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 enrollment system.

Which organizations bill Medicare for Stephanie Fanous's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Fanous reassigns Medicare benefits to 2 organizations: Healthcare Partners Affiliates Medical Group (Los Angeles, CA) and Centers For Family Medicine Gp (Los Alamitos, CA). 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 Stephanie Fanous's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 10 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.