MR. JACK FACUNDUS ARNP
NPI 1376092809
Nurse Practitioner - Psychiatric/Mental Health in Longwood, FL

Active since September 26, 2016PECOS EnrolledAccepts Medicare Assignment
651 W WARREN AVE STE 100, LONGWOOD, FL 32750(321) 999-9617 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2024, Apr 10, 2023, Mar 7, 2023 and 2 more (5 updates tracked since 2016).

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

NPI1376092809
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JACK FACUNDUSCredential: ARNP
Location Address651 W WARREN AVE STE 100Longwood, FL 32750-4036
Mailing Address5151 Adanson StOrlando, FL 32804-1317 · (407) 875-3700
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 26, 2016
Last NPPES UpdateJune 14, 20245 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
NPI 1376092809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · APRN2824142
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP2824142 (FL), 090740-23 (NH)
651 W WARREN AVE STE 100, Longwood, FL 32750

Secondary Practice Locations 4

Location 11650 Berkshire AveWinter Park, FL 32789-5403 · Phone (407) 760-9605
Location 2919 E 2nd StSanford, FL 32771 · Phone (407) 875-3700
Location 31 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-5000
Location 424 Railroad StKeene, NH 03431-3744 · Phone (603) 354-5400

Other Identifiers 2

OtherF0416038FL · American Academy Of Nurse Practitioners Certification Program
OtherARNP2824142FL · State Of Florida Arnp License

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 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.

PECOS PAC ID5294102703
PECOS Enrollment IDI20240711001459
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 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.

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 8

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

Licensed Practical Nurse
651 W WARREN AVE STE 100
LONGWOOD, FL 32750
Licensed Practical Nurse
651 W WARREN AVE STE 100
LONGWOOD, FL 32750
Counselor (Mental Health)
651 W WARREN AVE STE 100
LONGWOOD, FL 32750
Counselor
651 W WARREN AVE STE 100
LONGWOOD, FL 32750
Licensed Practical Nurse
651 W WARREN AVE STE 100
LONGWOOD, FL 32750
Counselor (Addiction (Substance Use Disorder))
651 W WARREN AVE STE 100
LONGWOOD, FL 32750
Counselor (Addiction (Substance Use Disorder))
651 W WARREN AVE STE 100
LONGWOOD, FL 32750
Family Medicine
651 W WARREN AVE STE 100
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.

What insurance does Jack Facundus accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan and UnitedHealthcare and 1 other insurer 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.