NATASHA L FENELON (APRN) – Family Nurse Practitioner, NPI 1003426883

NATASHA L FENELON (APRN) is a healthcare provider. based in Winter haven, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11008419 (FL). The NPI Number for NATASHA L FENELON (APRN) is 1003426883

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
NATASHA L FENELON (APRN)
NPI
1003426883
Phone
(561) 371-7911
Address
2065 WHISPERING TRAILS BLVD
Enumeration Date
5 August 2020
Last Update Date
8 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8639494668
Graduation Year
2020 (6 years ago)
PAC ID
4688082464
Group Practice PAC ID
6406096536
Professional Enrollment ID
I20210415001127
Address ID
FL338534419LA684XX60XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for NATASHA L FENELON (APRN)

  • 2065 WHISPERING TRAILS BLVD

    WINTER HAVEN, FL 338841838

    Phone: (561) 371-7911

    Type: Mailing

  • 6675 WESTWOOD BLVD

    STE 475

    ORLANDO, FL 328216027

    Phone: (407) 845-0330

    Fax: (888) 972-1752

    Type: Mailing

  • 684 STATE ROAD 60 W

    LAKE WALES, FL 338534419

    Phone: (863) 949-4868

    Fax: (863) 223-8549

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: Novo Nordisk Inc ($32).

Total Amount

$50

General + Research + Ownership

Payments

3

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210415001127INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33884)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406096536View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm NATASHA L FENELON (APRN)'s NPI?
Yes. NATASHA L FENELON (APRN) is listed with NPI 1003426883 in the public NPI dataset.
Is NATASHA L FENELON (APRN) listed as active for patients and plans?
The listing shows NATASHA L FENELON (APRN) as active in the NPI system.
What taxonomy line describes NATASHA L FENELON (APRN)?
For research purposes, treat NATASHA L FENELON (APRN) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does NATASHA L FENELON (APRN) list a practice location?
Patients near Winter Haven, Florida may find NATASHA L FENELON (APRN) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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