MRS. STEPHANIE FAJARDO (FNP-BC) – Family Nurse Practitioner, NPI 1467016550

MRS. STEPHANIE FAJARDO (FNP-BC) is a healthcare provider. based in Plantation, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 11000311 (FL). The NPI Number for MRS. STEPHANIE FAJARDO (FNP-BC) is 1467016550

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEPHANIE FAJARDO (FNP-BC)
NPI
1467016550
Phone
(954) 476-2338
Address
140 SW 84TH AVE STE B
Enumeration Date
24 April 2019
Last Update Date
4 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544762338
Graduation Year
2018 (8 years ago)
PAC ID
6204164940
Group Practice PAC ID
6507021037
Professional Enrollment ID
I20190820001379
Address ID
FL333242736PL140XXAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for MRS. STEPHANIE FAJARDO (FNP-BC)

  • 140, Southwest 84th Avenue, Plantation, Broward County, Florida, 33324, United States

    PLANTATION, FL 333242736

    Phone: (954) 476-2338

    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 307 Open Payments records for all available years, with a total value of $6,174.

Total Amount is formed as General ($6,174) + Research ($0) + Ownership ($0) = $6,174.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($1,027).

Total Amount

$6,174

General + Research + Ownership

Payments

307

Total payment records

General Amount

$6,174

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2019-08-20

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
I20190820001379INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 33324)

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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: 6507021037View full group profile
NameSpecialtyState
Rheumatology, Internal MedicineFL
Nurse PractitionerFL
R H E U M A T O L O G YFL

Reviews

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Frequently asked questions

What NPI should I save for MRS. STEPHANIE FAJARDO (FNP-BC)?
Save NPI 1467016550 if you need a stable reference for MRS. STEPHANIE FAJARDO (FNP-BC).
Does this profile mean MRS. STEPHANIE FAJARDO (FNP-BC) is currently active?
Yes — MRS. STEPHANIE FAJARDO (FNP-BC) appears active in the national provider directory.
Does MRS. STEPHANIE FAJARDO (FNP-BC) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MRS. STEPHANIE FAJARDO (FNP-BC). Clinical services aligned with this taxonomy classification.
Where is MRS. STEPHANIE FAJARDO (FNP-BC)'s primary listing?
We display Plantation, Florida because that is what the record indicates for MRS. STEPHANIE FAJARDO (FNP-BC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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