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: July 19, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

The NPI number assigned to this healthcare provider is 1861002701, enumerated as an "individual" on August 05, 2020.

The provider is located at 1590 UNION ST MANCHESTER, NH 03104 and the phone number is (603) 860-8905.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.