DESTINY FANTAUZZI FNP-C
NPI 1316769540
Nurse Practitioner - Pediatrics in Winter Garden, FL

Active since October 29, 2024PECOS Enrolled
5730 HAMLIN GROVES TRL STE 164, WINTER GARDEN, FL 34787(407) 347-7052 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2025, Mar 17, 2025 (2 updates tracked since 2025).

About Destiny Fantauzzi Fnp-c NPPES

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

DESTINY FANTAUZZI FNP-C (NPI 1316769540) is an individual pediatrics provider in Winter Garden, Florida, licensed in Florida (APRN11035911) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316769540
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDESTINY FANTAUZZICredential: FNP-C
Location Address5730 HAMLIN GROVES TRL STE 164Winter Garden, FL 34787-5792
Mailing Address5730 Hamlin Groves Trl Ste 164Winter Garden, FL 34787-5792 · (407) 347-7052
Sole ProprietorNo
Enumeration DateOctober 29, 2024
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1316769540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in FL · APRN11035911
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11035911 (FL)
5730 HAMLIN GROVES TRL STE 164, Winter Garden, FL 34787

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Destiny Fantauzzi Fnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34787 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

Nurse Practitioner
5730 HAMLIN GROVES TRL STE 164
WINTER GARDEN, FL 34787
Family Medicine
5730 HAMLIN GROVES TRL STE 164
WINTER GARDEN, FL 34787

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 Destiny Fantauzzi's NPI number?

The NPI number for Destiny Fantauzzi is 1316769540. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Destiny Fantauzzi located?

Destiny Fantauzzi practices at 5730 Hamlin Groves Trl Ste 164, Winter Garden, FL 34787. The listed phone number is (407) 347-7052.

What is Destiny Fantauzzi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Destiny Fantauzzi enrolled in Medicare?

Yes. Destiny Fantauzzi is registered in the Medicare PECOS enrollment system.

What insurance does Destiny Fantauzzi accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Destiny Fantauzzi 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 Destiny Fantauzzi was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.