MR. JACK FACUNDUS ARNP
NPI 1376092809
Nurse Practitioner - Psychiatric/Mental Health in Longwood, FL
About Mr. Jack Facundus Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACK FACUNDUS ARNP (NPI 1376092809) is an individual psychiatric/mental health provider in Longwood, Florida, licensed in Florida (APRN2824142) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 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 and accepts Medicare assignment
Mr. Jack Facundus Arnp 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jack Facundus reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orlando, FL 32808
- Reassigned Medicare billing, Florida enrollment
- 105 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Florida and New Hampshire enrollments
- 3,079 clinicians in this Medicare group
Keene, NH 03431
- Reassigned Medicare billing, New Hampshire enrollment
- 2,999 clinicians in this Medicare group
Keene, NH 03431
- Reassigned Medicare billing, New Hampshire enrollment
- 450 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 32750 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONGWOOD, FL 32750
LONGWOOD, FL 32750
LONGWOOD, FL 32750
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 Jack Facundus's NPI number?
The NPI number for Jack Facundus is 1376092809. It was assigned to this individual provider in the NPPES registry on September 26, 2016.
Where is Jack Facundus located?
Jack Facundus practices at 651 W Warren Ave Ste 100, Longwood, FL 32750. The listed phone number is (321) 999-9617.
What is Jack Facundus's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jack Facundus enrolled in Medicare?
Yes. Jack Facundus 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.
Which organizations bill Medicare for Jack Facundus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Facundus reassigns Medicare benefits to 4 organizations: Aspire Health Partners, Inc. (Orlando, FL), Grow Healthcare Group PA (Miami, FL), Dartmouth-Hitchcock Clinic (Keene, NH) and Cheshire Medical Center (Keene, NH). 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 Jack Facundus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Facundus accept?
Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Oscar Health Maintenance Organization of Florida, UnitedHealthcare and WellSense Health Plan list Jack Facundus 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 Jack Facundus was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mr. Jack Facundus, ARNP · NPI 1376092809
Psychiatric/Mental Health physician in Longwood, Florida. Individual provider, active in the CMS NPPES registry since September 26, 2016.
## Identity
- **NPI:** 1376092809 (Entity type: Individual)
- **Enumerated:** September 26, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN2824142 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 651 W WARREN AVE STE 100, Longwood, FL 32750-4036
- **Phone:** (321) 999-9617
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Aspire Health Partners, Inc. (NPI 1821033903, Orlando, FL); Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Dartmouth-Hitchcock Clinic (NPI 1174176861, Keene, NH); Cheshire Medical Center (NPI 1093803397, Keene, NH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** June 14, 2024
- **Other identifiers:** Other F0416038 (FL); Other ARNP2824142 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1376092809) · Data from the CMS NPPES public registry.