JOSHUA ENRIQUE FANTAUZZI (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1780409417

JOSHUA ENRIQUE FANTAUZZI (RN) is a healthcare provider. based in Abilene, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 946772 (TX). The NPI Number for JOSHUA ENRIQUE FANTAUZZI (RN) is 1780409417

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA ENRIQUE FANTAUZZI (RN)
NPI
1780409417
Phone
(325) 691-0030
Address
4225 WOODS PL
Enumeration Date
18 November 2024
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4325615915
Graduation Year
2024 (2 years ago)
PAC ID
4789111774
Group Practice PAC ID
6901029206
Professional Enrollment ID
I20250103000528
Address ID
TX797062601MI3300XFMXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for JOSHUA ENRIQUE FANTAUZZI (RN)

  • 4225 WOODS PL

    ABILENE, TX 796027991

    Phone: (325) 691-0030

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-01-03

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
I20250103000528INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79602)

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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: 6901029206View full group profile
NameSpecialtyState
P S Y C H I A T R YSC
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
P S Y C H I A T R YTX
P S Y C H I A T R YTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does JOSHUA ENRIQUE FANTAUZZI (RN) have a public NPI I can cite?
Public records show JOSHUA ENRIQUE FANTAUZZI (RN) under NPI 1780409417.
Should I treat JOSHUA ENRIQUE FANTAUZZI (RN) as an active provider?
Patients and plans typically see JOSHUA ENRIQUE FANTAUZZI (RN) as active in the national extract.
What does the directory say JOSHUA ENRIQUE FANTAUZZI (RN) does?
Insurance directories may phrase it differently, but here JOSHUA ENRIQUE FANTAUZZI (RN) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JOSHUA ENRIQUE FANTAUZZI (RN) tied to Abilene, Texas?
If you are local to Abilene, Texas, JOSHUA ENRIQUE FANTAUZZI (RN) may be relevant to your search.
Why is information missing for JOSHUA ENRIQUE FANTAUZZI (RN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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