FANTA MICHELLE BAYOH MSN, APRN, FNP-C
NPI 1427555218
Nurse Practitioner - Family in Venice, CA

Active since April 09, 2018PECOS Enrolled
905 VENICE BLVD, VENICE, CA 90291(310) 392-8636(310) 664-7998 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2025, Jul 6, 2023, Aug 25, 2020 and 5 more (8 updates tracked since 2018).

About Fanta Michelle Bayoh Msn, Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FANTA MICHELLE BAYOH MSN, APRN, FNP-C (NPI 1427555218) is an individual family provider in Venice, California, licensed in California (95011475) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427555218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameFANTA MICHELLE BAYOHCredential: MSN, APRN, FNP-C
Location Address905 VENICE BLVDVenice, CA 90291-4904
Mailing Address905 Venice BlvdVenice, CA 90291-4904 · (310) 392-8636 · Fax (310) 664-7998
Fax(310) 664-7998
Sole ProprietorNo
Enumeration DateApril 9, 2018
Last NPPES UpdateJune 11, 20258 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1427555218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95011475✔ Licensed in NY · 343189
Also ListedRegistered NurseTaxonomy 163W00000X · License 727713 (NY), 95157790 (CA)
905 VENICE BLVD, Venice, CA 90291

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fanta Michelle Bayoh Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Fanta Bayoh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
905 VENICE BLVD
Venice, CA 90291
  • Reassigned Medicare billing, California enrollment
  • 147 clinicians in this Medicare group
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
Internal Medicine
26357 MCBEAN PKWY
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 684 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 90291 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers37 claims68 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims12 services$1.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Family Medicine
905 VENICE BLVD
VENICE, CA 90291
Clinic/Center (Federally Qualified Health Center (FQHC))
905 VENICE BLVD
VENICE, CA 90291
Clinic/Center (Federally Qualified Health Center (FQHC))
905 VENICE BLVD
VENICE, CA 90291
Clinic/Center (Federally Qualified Health Center (FQHC))
905 VENICE BLVD
VENICE, CA 90291

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 Fanta Bayoh's NPI number?

The NPI number for Fanta Bayoh is 1427555218. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Fanta Bayoh located?

Fanta Bayoh practices at 905 Venice Blvd, Venice, CA 90291. The listed phone number is (310) 392-8636.

What is Fanta Bayoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Fanta Bayoh enrolled in Medicare?

Yes. Fanta Bayoh is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fanta Bayoh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fanta Bayoh reassigns Medicare benefits to 3 organizations: Venice Family Clinic (Venice, CA), Usc Care Medical Group, Inc (Los Angeles, CA) and Providence Facey Medical Foundation (Valencia, CA). 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 Fanta Bayoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Fanta Bayoh was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.