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MICHAEL FANO FNP
NPI 1740394204
Nurse Practitioner in Jamaica, NY

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
105 - 04 SUTPHIN BLVD, JAMAICA, NY 11432(855) 681-8700(718) 943-6788 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael Fano Fnp NPPES

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

MICHAEL FANO FNP (NPI 1740394204) is an individual nurse practitioner in Jamaica, New York, licensed in New York (332757) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1740394204
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICHAEL FANOCredential: FNP
Location Address105 - 04 SUTPHIN BLVDJamaica, NY 11432
Mailing Address105 - 04 Sutphin BlvdJamaica, NY 11435 · (718) 725-5000 · Fax (718) 725-5080
Phone(855) 681-8700
Fax(718) 943-6788
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 19, 2006
Last NPPES UpdateDecember 5, 2012
✔ NPI 1740394204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 332757
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
105 - 04 SUTPHIN BLVD, Jamaica, NY 11432
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Other Names 1

Professional Name (2)Michael Fano Fnp

Other Identifiers 1

OtherLICENSE NUMBERNY · 332757

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

Michael Fano Fnp 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.

PECOS PAC ID4688731276
PECOS Enrollment IDI20090326000127
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Fano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sun River Health Inc
12 mi
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1740763275 (855) 681-8700

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 11432 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Michael Fano's NPI number?

The NPI number for Michael Fano is 1740394204. It was assigned to this individual provider in the NPPES registry on August 19, 2006. The provider is also known as Michael Fano Fnp.

Where is Michael Fano located?

Michael Fano practices at 105 - 04 Sutphin Blvd, Jamaica, NY 11432. The listed phone number is (855) 681-8700.

What is Michael Fano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michael Fano enrolled in Medicare?

Yes. Michael Fano 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 organization bills Medicare for Michael Fano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fano reassigns Medicare benefits to Sun River Health Inc (Bronx, NY). 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 Michael Fano'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 Michael Fano was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.