MOISES FAJARDO – Nurse Practitioner, NPI 1740683069

MOISES FAJARDO is a healthcare provider. based in Troy, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704267838 (MI). The NPI Number for MOISES FAJARDO is 1740683069

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MOISES FAJARDO
NPI
1740683069
Phone
(248) 792-7114
Address
2445 CLAYMONT DR
Enumeration Date
1 October 2014
Last Update Date
22 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
1052633690
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20141209002180
Address ID
MI483141040ST44344RDXX300

Contacts

Secure Messaging
mfajardo25000@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MOISES FAJARDO

  • 2445 CLAYMONT DR

    TROY, MI 480982493

    Phone: (248) 792-7114

    Type: Mailing

  • 1402 W 14 MILE RD

    CLAWSON, MI 480171499

    Phone: (866) 389-2727

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $5,866.

Total Amount is formed as General ($5,866) + Research ($0) + Ownership ($0) = $5,866.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($1,018).

Total Amount

$5,866

General + Research + Ownership

Payments

65

Total payment records

General Amount

$5,866

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

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: 2014-12-09

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
I20141209002180INurse PractitionerMITBD

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
99215Established patient office or other outpatient visit, 40-54 minutes9871$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2316$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1414$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 48098)

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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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

Does MOISES FAJARDO share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MOISES FAJARDO uses 1740683069.
Is MOISES FAJARDO still practicing?
MOISES FAJARDO is currently listed as active in the public NPI registry.
What is MOISES FAJARDO best known for clinically?
Directory data describes MOISES FAJARDO with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MOISES FAJARDO list a practice location?
Patients near Troy, Michigan may find MOISES FAJARDO in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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