MR. CARLOS FAGBENRO NP
NPI 1447528328
Nurse Practitioner - Family in Manassas, VA
About Mr. Carlos Fagbenro Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CARLOS FAGBENRO NP (NPI 1447528328) is an individual family provider in Manassas, Virginia, licensed in Virginia (0024169586) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS.
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 (PECOS)
Mr. Carlos Fagbenro Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Carlos Fagbenro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbridge, VA 22193
- Reassigned Medicare billing, Virginia enrollment
Woodbridge, VA 22192
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 2 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 20112 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 17
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 Carlos Fagbenro's NPI number?
The NPI number for Carlos Fagbenro is 1447528328. It was assigned to this individual provider in the NPPES registry on December 7, 2011.
Where is Carlos Fagbenro located?
Carlos Fagbenro practices at 6360 Hoadly Rd, Manassas, VA 20112. The listed phone number is (571) 594-9110.
What is Carlos Fagbenro's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carlos Fagbenro enrolled in Medicare?
Yes. Carlos Fagbenro is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Carlos Fagbenro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Fagbenro reassigns Medicare benefits to 2 organizations: Well-Care Corp (Woodbridge, VA) and Mednovations LLC (Woodbridge, VA). 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 Carlos Fagbenro'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 Carlos Fagbenro was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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. Carlos Fagbenro, NP · NPI 1447528328
Family physician in Manassas, Virginia. Individual provider, active in the CMS NPPES registry since December 7, 2011.
## Identity
- **NPI:** 1447528328 (Entity type: Individual)
- **Enumerated:** December 7, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024169586 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6360 HOADLY RD, Manassas, VA 20112-3422
- **Phone:** (571) 594-9110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Well-Care Corp (NPI 1952853061, Woodbridge, VA); Mednovations LLC (NPI 1013402593, Woodbridge, VA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1447528328) · Data from the CMS NPPES public registry.