MR. CARLOS FAGBENRO NP
NPI 1447528328
Nurse Practitioner - Family in Manassas, VA

Q: 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.

Q: What is Carlos Fagbenro's specialty?

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

Q: 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.

Active since December 07, 2011PECOS Enrolled

6360 HOADLY RD, MANASSAS, VA 20112(571) 594-9110 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1447528328

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. CARLOS FAGBENROCredential: NP

Location Address6360 HOADLY RDManassas, VA 20112-3422

Mailing Address15337 Lord Culpeper CtWoodbridge, VA 22191-4937 · (571) 594-9110

Phone(571) 594-9110

Sole ProprietorNo

Enumeration DateDecember 7, 2011

Last NPPES UpdateJanuary 27, 2017

✔ NPI 1447528328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024169586

6360 HOADLY RD, Manassas, VA 20112

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Carlos Fagbenro Np 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.

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.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 18

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

DR. RUTH OBUOBI MENSAH PHARMD

Pharmacist