MOISES FAJARDO
NPI 1740683069
Nurse Practitioner in Clawson, MI
About Moises Fajardo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOISES FAJARDO (NPI 1740683069) is an individual nurse practitioner in Clawson, Michigan, licensed in Michigan (4704267838) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
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
Moises Fajardo 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 Moises Fajardo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 clinicians in this Medicare group
Lake Orion, MI 48360
- Reassigned Medicare billing, Michigan enrollment
- 15 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Grosse Pointe
Acute Care Hospitals · Grosse Pointe, MIBeaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIBeaumont Hospital - Farmington Hills
Acute Care Hospitals · Farmington Hills, MIBeaumont Hospital, Troy
Acute Care Hospitals · Troy, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLAWSON, MI 48017
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 Moises Fajardo's NPI number?
The NPI number for Moises Fajardo is 1740683069. It was assigned to this individual provider in the NPPES registry on October 1, 2014. The provider is also known as Moises Romeo Fajardo.
Where is Moises Fajardo located?
Moises Fajardo practices at 1402 W 14 Mile Rd, Clawson, MI 48017. The listed phone number is (866) 389-2727.
What is Moises Fajardo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Moises Fajardo enrolled in Medicare?
Yes. Moises Fajardo 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 Moises Fajardo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Moises Fajardo reassigns Medicare benefits to 2 organizations: Beaumont Medical Group- Specialty Services (Royal Oak, MI) and John Kitzmiller M.D. PC (Lake Orion, MI). 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 Moises Fajardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Moises Fajardo accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Moises Fajardo 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.
Is Moises Fajardo affiliated with any hospitals?
According to CMS data, Moises Fajardo is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak, Beaumont Hospital - Farmington Hills and Beaumont Hospital, Troy.
When was this NPI record last updated?
The NPPES record for Moises Fajardo was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Moises Fajardo · NPI 1740683069
Nurse Practitioner physician in Clawson, Michigan. Individual provider, active in the CMS NPPES registry since October 1, 2014.
## Identity
- **NPI:** 1740683069 (Entity type: Individual)
- **Enumerated:** October 1, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704267838 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1402 W 14 MILE RD, Clawson, MI 48017-1499
- **Phone:** (866) 389-2727
## 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): Beaumont Medical Group- Specialty Services (NPI 1578072906, Royal Oak, MI); John Kitzmiller M.D. PC (NPI 1518393800, Lake Orion, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1740683069) · Data from the CMS NPPES public registry.