DESTINY FANTAUZZI FNP-C
NPI 1316769540
Nurse Practitioner - Pediatrics in Winter Garden, FL
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
Specialties & Licenses 2
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)
Destiny Fantauzzi Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Destiny Fantauzzi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indialantic, FL 32903
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Health First Privia Medical Group
- 329 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 1,912 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 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINTER GARDEN, FL 34787
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.
Which organizations bill Medicare for Destiny Fantauzzi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Destiny Fantauzzi reassigns Medicare benefits to 2 organizations: Privia Medical Group Florida, LLC (Indialantic, FL) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). 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 Destiny Fantauzzi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Destiny Fantauzzi accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 1 other insurer 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 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.
# Destiny Fantauzzi, FNP-C · NPI 1316769540
Pediatrics physician in Winter Garden, Florida. Individual provider, active in the CMS NPPES registry since October 29, 2024.
## Identity
- **NPI:** 1316769540 (Entity type: Individual)
- **Enumerated:** October 29, 2024
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APRN11035911 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 5730 HAMLIN GROVES TRL STE 164, Winter Garden, FL 34787-5792
- **Phone:** (407) 347-7052
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Privia Medical Group Florida, LLC (NPI 1700649043, Indialantic, FL); Emergency Medicine Services Of Fl, LLC (NPI 1043917180, Aventura, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316769540) · Data from the CMS NPPES public registry.