PAZ AMERICA FANNIN RN
NPI 1720701691
Pediatrics - Pediatric Emergency Medicine in Pace, FL
About Paz America Fannin Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAZ AMERICA FANNIN RN (NPI 1720701691) is an individual pediatric emergency medicine provider in Pace, Florida, licensed in Florida (RN9431495) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Paz America Fannin Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Paz Fannin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pace, FL 32571
- Reassigned Medicare billing, Florida enrollment
- 367 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.
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 Paz Fannin's NPI number?
The NPI number for Paz Fannin is 1720701691. It was assigned to this individual provider in the NPPES registry on September 26, 2022.
Where is Paz Fannin located?
Paz Fannin practices at 5637 Peach Dr, Pace, FL 32571. The listed phone number is (801) 885-5802.
What is Paz Fannin's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Paz Fannin enrolled in Medicare?
Yes. Paz Fannin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Paz Fannin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paz Fannin reassigns Medicare benefits to Cep America LLC (Pace, FL). The 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 Paz Fannin'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 Paz Fannin was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Paz America Fannin, RN · NPI 1720701691
Pediatric Emergency Medicine physician in Pace, Florida. Individual provider, active in the CMS NPPES registry since September 26, 2022.
## Identity
- **NPI:** 1720701691 (Entity type: Individual)
- **Enumerated:** September 26, 2022
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** RN9431495 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5637 PEACH DR, Pace, FL 32571-2775
- **Phone:** (801) 885-5802
## 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:** Cep America LLC (NPI 1871448001, Pace, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 26, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1720701691) · Data from the CMS NPPES public registry.