MRS. CONCEPCION FANOUS APRN, FNP-C
NPI 1366150260
Nurse Practitioner - Family in Tyler, TX
About Mrs. Concepcion Fanous Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CONCEPCION FANOUS APRN, FNP-C (NPI 1366150260) is an individual family provider in Tyler, Texas, licensed in Texas (1197042) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mrs. Concepcion Fanous Aprn, Fnp-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75701 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 20
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 Concepcion Fanous's NPI number?
The NPI number for Concepcion Fanous is 1366150260. It was assigned to this individual provider in the NPPES registry on November 9, 2022. The provider is also known as Mrs. Connie Fanous Aprn, Fnp-C.
Where is Concepcion Fanous located?
Concepcion Fanous practices at 2737 S Broadway Ave, Tyler, TX 75701. The listed phone number is (903) 592-6000.
What is Concepcion Fanous's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Concepcion Fanous enrolled in Medicare?
Yes. Concepcion 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 Concepcion Fanous was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mrs. Concepcion Fanous, APRN, FNP-C · NPI 1366150260
Family physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since November 9, 2022.
## Identity
- **NPI:** 1366150260 (Entity type: Individual)
- **Enumerated:** November 9, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1197042 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2737 S BROADWAY AVE, Tyler, TX 75701-5445
- **Phone:** (903) 592-6000 · **Fax:** (903) 592-3224
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366150260) · Data from the CMS NPPES public registry.