LAVENIA FAIN
NPI 1649697202
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since March 20, 2014PECOS Enrolled
4700 WISSAHICKON AVE STE 119, PHILADELPHIA, PA 19144(215) 843-9720 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, May 5, 2022 (2 updates tracked since 2022).

About Lavenia Fain NPPES

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

LAVENIA FAIN (NPI 1649697202) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP025249) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1649697202
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAVENIA FAIN
Location Address4700 WISSAHICKON AVE STE 119Philadelphia, PA 19144-4248
Mailing Address3900 City Ave Apt W1105Philadelphia, PA 19131-2963 · (267) 281-4884
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 20, 2014
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1649697202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in PA · SP025249 Licensed in CA · NP95025323 Licensed in DE · L8-0010842 Licensed in NJ · 26NJ01462700
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP013612 (PA)
4700 WISSAHICKON AVE STE 119, Philadelphia, PA 19144

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lavenia Fain is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103047824
PECOS Enrollment IDI20141022001615, I20231129001690
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 19144 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 2

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

Nurse Practitioner (Primary Care)
4700 WISSAHICKON AVE STE 119
PHILADELPHIA, PA 19144
Clinic/Center (Federally Qualified Health Center (FQHC))
4700 WISSAHICKON AVE STE 119
PHILADELPHIA, PA 19144

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 Lavenia Fain's NPI number?

The NPI number for Lavenia Fain is 1649697202. It was assigned to this individual provider in the NPPES registry on March 20, 2014.

Where is Lavenia Fain located?

Lavenia Fain practices at 4700 Wissahickon Ave Ste 119, Philadelphia, PA 19144. The listed phone number is (215) 843-9720.

What is Lavenia Fain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lavenia Fain enrolled in Medicare?

Yes. Lavenia Fain is registered in the Medicare PECOS enrollment system.

What insurance does Lavenia Fain accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Lavenia Fain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lavenia Fain was last updated on April 23, 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.