JACQUELINE FAGONI NP-C
NPI 1801276118
Nurse Practitioner - Family in Staten Island, NY
About Jacqueline Fagoni Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE FAGONI NP-C (NPI 1801276118) is an individual family provider in Staten Island, New York, licensed in New York (33339339) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Fagoni Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10305 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 13
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 Jacqueline Fagoni's NPI number?
The NPI number for Jacqueline Fagoni is 1801276118. It was assigned to this individual provider in the NPPES registry on June 2, 2015.
Where is Jacqueline Fagoni located?
Jacqueline Fagoni practices at 1361 Hylan Blvd, Staten Island, NY 10305. The listed phone number is (888) 771-1874.
What is Jacqueline Fagoni's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Fagoni enrolled in Medicare?
Yes. Jacqueline Fagoni is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacqueline Fagoni was last updated on January 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jacqueline Fagoni, NP-C · NPI 1801276118
Family physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since June 2, 2015.
## Identity
- **NPI:** 1801276118 (Entity type: Individual)
- **Enumerated:** June 2, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 33339339 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1361 HYLAN BLVD, Staten Island, NY 10305-1902
- **Phone:** (888) 771-1874
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 30, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1801276118) · Data from the CMS NPPES public registry.