MARIAH FADJO
NPI 1538035803
Nurse Practitioner - Family in Salem, MA
About Mariah Fadjo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAH FADJO (NPI 1538035803) is an individual family provider in Salem, Massachusetts, licensed in Massachusetts (RN9520270) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
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
Mariah Fadjo 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 Reassignments
2Medicare enrollment records show Mariah Fadjo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Swampscott, MA 01907
- Reassigned Medicare billing, Massachusetts enrollment
- 33 clinicians in this Medicare group
Medway, MA 02053
- Reassigned Medicare billing, Massachusetts enrollment
- 186 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 01970 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 11
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 Mariah Fadjo's NPI number?
The NPI number for Mariah Fadjo is 1538035803. It was assigned to this individual provider in the NPPES registry on October 14, 2025.
Where is Mariah Fadjo located?
Mariah Fadjo practices at 300 Canal St, Salem, MA 01970. The listed phone number is (978) 328-8924.
What is Mariah Fadjo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mariah Fadjo enrolled in Medicare?
Yes. Mariah Fadjo 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 organizations bill Medicare for Mariah Fadjo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariah Fadjo reassigns Medicare benefits to 2 organizations: CVS Clinic PLLC (Swampscott, MA) and Minuteclinic Diagnostic Of Massachusetts LLC (Medway, MA). 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 Mariah Fadjo'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 Mariah Fadjo was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mariah Fadjo · NPI 1538035803
Family physician in Salem, Massachusetts. Individual provider, active in the CMS NPPES registry since October 14, 2025.
## Identity
- **NPI:** 1538035803 (Entity type: Individual)
- **Enumerated:** October 14, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN9520270 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 CANAL ST, Salem, MA 01970-4558
- **Phone:** (978) 328-8924
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): CVS Clinic PLLC (NPI 1306623426, Swampscott, MA); Minuteclinic Diagnostic Of Massachusetts LLC (NPI 1457470858, Medway, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1538035803) · Data from the CMS NPPES public registry.