GUDALIA FAJARDO – Family Nurse Practitioner, NPI 1083019012
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for GUDALIA FAJARDO
45640 SCHOENHERR RD
SUITE B
UTICA, MI 483156033
Phone: (586) 247-4300
Fax: (586) 532-6496
Type: Mailing
2603 ELECTRIC AVE STE 1
PORT HURON, MI 480606588
Phone: (810) 987-5252
Fax: (810) 987-2120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $3,170.
Total Amount is formed as General ($3,170) + Research ($0) + Ownership ($0) = $3,170.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($346).
Total Amount
$3,170
General + Research + Ownership
Payments
33
Total payment records
General Amount
$3,170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $346 |
| Medtronic, Inc. | $279 |
| Teva Pharmaceuticals USA, Inc. | $244 |
| ACADIA Pharmaceuticals Inc | $192 |
| Ardelyx, Inc. | $146 |
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: 2014-12-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141224001070 | I | Nurse Practitioner | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 231 | 154 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 20 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 17 | 13 | $0 |
Insurance plans in this area (ZIP 48315)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| N E P H R O L O G Y | NY | |
| Internal Medicine | MI | |
| Nurse Practitioner | ID | |
| Nephrology, Internal Medicine | MI | |
| N E P H R O L O G Y | MI | |
| N E P H R O L O G Y | MI | |
| Nephrology, Internal Medicine | MI | |
| N E P H R O L O G Y | MI |
Reviews
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