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MS. KATHLEEN P FANTOZZI FNP-BC
NPI 1861002701
Nurse Practitioner - Family in Manchester, NH

Active since August 05, 2020PECOS Enrolled
1590 UNION ST, MANCHESTER, NH 03104(603) 860-8905 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2020, Aug 5, 2020 (2 updates tracked since 2020).

About Ms. Kathleen P Fantozzi Fnp-bc NPPES

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

MS. KATHLEEN P FANTOZZI FNP-BC (NPI 1861002701) is an individual family provider in Manchester, New Hampshire, licensed in New Hampshire (2020015527) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861002701
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KATHLEEN P FANTOZZICredential: FNP-BC
Location Address1590 UNION STManchester, NH 03104-1768
Mailing Address1590 Union StManchester, NH 03104-1768 · (603) 860-8905
Phone(603) 860-8905
Sole ProprietorYes
Enumeration DateAugust 5, 2020
Last NPPES UpdateSeptember 4, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2020
✔ NPI 1861002701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NH · 2020015527
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2020015527 (NH)
1590 UNION ST, Manchester, NH 03104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathleen P Fantozzi Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kathleen Fantozzi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medcare Nh LLC
32 mi
Registered Nurse
62 ROCHESTER HILL RD
Rochester, NH 03867
  • Reassigned Medicare billing, New Hampshire enrollment
  • 6 clinicians in this Medicare group
NPI 1770250318 (603) 335-3955

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 03104 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 Kathleen Fantozzi's NPI number?

The NPI number for Kathleen Fantozzi is 1861002701. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Kathleen Fantozzi located?

Kathleen Fantozzi practices at 1590 Union St, Manchester, NH 03104. The listed phone number is (603) 860-8905.

What is Kathleen Fantozzi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Fantozzi enrolled in Medicare?

Yes. Kathleen Fantozzi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathleen Fantozzi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Fantozzi reassigns Medicare benefits to Medcare Nh LLC (Rochester, NH). 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 Kathleen Fantozzi'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 Kathleen Fantozzi was last updated on September 4, 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.