CHRISTOPHER CHARLES FANELLA – Medical Physician Assistant, NPI 1013686914

CHRISTOPHER CHARLES FANELLA is a healthcare provider. based in Miramar, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. 9115102 (FL). The NPI Number for CHRISTOPHER CHARLES FANELLA is 1013686914

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER CHARLES FANELLA
NPI
1013686914
Phone
Not provided
Address
3000 SW 148TH AVE STE 115
Enumeration Date
13 September 2021
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544387000
Graduation Year
2021 (5 years ago)
PAC ID
8022406701
Group Practice PAC ID
1951684968
Professional Enrollment ID
I20211029000313
Address ID
FL330274181MI3000XAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for CHRISTOPHER CHARLES FANELLA

  • 3000 SW 148TH AVE STE 115

    MIRAMAR, FL 330274181

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-04-12 • Largest payer in this snapshot: IBSA Pharma Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
IBSA Pharma Inc.$16
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: 2021-10-29

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
I20211029000313IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9150$0
76881Complete ultrasound scan of joint7440$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance2821$0
99214Established patient office or other outpatient visit, 30-39 minutes2220$0
20552Injection of trigger points, 1-2 muscles1814$0
View full utilization report →

Insurance plans in this area (ZIP 33027)

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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: 1951684968View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Medicine And RehabilitationFL
-FL
Physical Therapist In Private PracticeFL
Physical Medicine And Rehabilitation, Interventional Pain ManagementFL

Reviews

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Frequently asked questions

How do payers reference CHRISTOPHER CHARLES FANELLA?
For CHRISTOPHER CHARLES FANELLA, use NPI 1013686914 as the unique 10-digit identifier.
Would CHRISTOPHER CHARLES FANELLA appear as active to a payer?
You can treat CHRISTOPHER CHARLES FANELLA as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is CHRISTOPHER CHARLES FANELLA?
CHRISTOPHER CHARLES FANELLA is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is CHRISTOPHER CHARLES FANELLA registered?
Use Miramar, Florida as the headline location for CHRISTOPHER CHARLES FANELLA here.
Does CHRISTOPHER CHARLES FANELLA accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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