MRS. JUDY LYNN FAJARDO (AGCANP-BC) – Acute Care Nurse Practitioner, NPI 1811548597

MRS. JUDY LYNN FAJARDO (AGCANP-BC) is a healthcare provider. based in Smithville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials AGCANP-BC. They hold a License No. RN239574 (GA). The NPI Number for MRS. JUDY LYNN FAJARDO (AGCANP-BC) is 1811548597

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JUDY LYNN FAJARDO (AGCANP-BC)
NPI
1811548597
Phone
(229) 347-0385
Address
805 GA HIGHWAY 118 E
Enumeration Date
24 September 2019
Last Update Date
13 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2292763541
Graduation Year
2019 (7 years ago)
PAC ID
7911306204
Group Practice PAC ID
9537568738
Professional Enrollment ID
I20210518001882
Address ID
GA310153214CO106XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. JUDY LYNN FAJARDO (AGCANP-BC)

  • 805 GA HIGHWAY 118 E

    SMITHVILLE, GA 317872805

    Phone: (229) 347-0385

    Type: Mailing

  • 2728 GA HIGHWAY 49 S

    OGLETHORPE, GA 310688129

    Phone: (478) 472-3400

    Type: Location

  • 902 N 7TH ST

    CORDELE, GA 310153234

    Phone: (229) 276-3100

    Type: Mailing

  • 116 E 4TH AVE

    CORDELE, GA 310153210

    Phone: (229) 273-2335

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $409.

Total Amount is formed as General ($409) + Research ($0) + Ownership ($0) = $409.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Dexcom, Inc. ($104).

Total Amount

$409

General + Research + Ownership

Payments

28

Total payment records

General Amount

$409

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

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: 2021-05-18

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
I20210518001882INurse PractitionerGATBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month12340$0
99213Established patient office or other outpatient visit, 20-29 minutes3619$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month2814$0
81003Automated urinalysis test2619$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 31787)

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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: 9537568738View full group profile
NameSpecialtyState
N E P H R O L O G YUT

Reviews

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Frequently asked questions

Does MRS. JUDY LYNN FAJARDO (AGCANP-BC) have a public NPI I can cite?
Public records show MRS. JUDY LYNN FAJARDO (AGCANP-BC) under NPI 1811548597.
Does the public listing show MRS. JUDY LYNN FAJARDO (AGCANP-BC) as active?
MRS. JUDY LYNN FAJARDO (AGCANP-BC)'s NPI record reflects an active status in NPPES.
How should patients interpret MRS. JUDY LYNN FAJARDO (AGCANP-BC)'s specialty?
The extract shows Acute Care Nurse Practitioner for MRS. JUDY LYNN FAJARDO (AGCANP-BC). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. JUDY LYNN FAJARDO (AGCANP-BC)?
MRS. JUDY LYNN FAJARDO (AGCANP-BC) is associated with Smithville, Georgia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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