RAYCOR FADERUGAO CRNP
NPI 1417323445
Nurse Practitioner - Acute Care in Baltimore, MD
About Raycor Faderugao Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAYCOR FADERUGAO CRNP (NPI 1417323445) is an individual acute care provider in Baltimore, Maryland, licensed in Maryland (R160569) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Greater Baltimore Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Raycor Faderugao Crnp 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 Reassignment
Medicare enrollment records show Raycor Faderugao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21204
- Reassigned Medicare billing, Maryland enrollment
- 444 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Greater Baltimore Medical Center
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21287 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
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 Raycor Faderugao's NPI number?
The NPI number for Raycor Faderugao is 1417323445. It was assigned to this individual provider in the NPPES registry on August 13, 2015.
Where is Raycor Faderugao located?
Raycor Faderugao practices at 600 N Wolfe St Osler 0-600, Baltimore, MD 21287. The listed phone number is (410) 955-5353.
What is Raycor Faderugao's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Raycor Faderugao enrolled in Medicare?
Yes. Raycor Faderugao 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 organization bills Medicare for Raycor Faderugao's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raycor Faderugao reassigns Medicare benefits to Greater Baltimore Medical Center, Inc. (Baltimore, MD). The 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 Raycor Faderugao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Raycor Faderugao affiliated with any hospitals?
According to CMS data, Raycor Faderugao is affiliated with Greater Baltimore Medical Center.
When was this NPI record last updated?
The NPPES record for Raycor Faderugao was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Raycor Faderugao, CRNP · NPI 1417323445
Acute Care physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since August 13, 2015.
## Identity
- **NPI:** 1417323445 (Entity type: Individual)
- **Enumerated:** August 13, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** R160569 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 N WOLFE ST, OSLER 0-600, Baltimore, MD 21287-0005
- **Phone:** (410) 955-5353 · **Fax:** (410) 955-7363
## 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:** Greater Baltimore Medical Center, Inc. (NPI 1013739382, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 18, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1417323445) · Data from the CMS NPPES public registry.