Mr Jesse Fazzingo, ARNP - Medicare Nurse Practitioner in St Augustine, FL

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Mr Jesse Fazzingo, ARNP is a medicare enrolled "Nurse Practitioner - Family" in St Augustine, Florida. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Vitas Solutions Inc, Mobile Visiting Practitioners, Llc and his current practice location is 1301 Plantation Island Dr S, Suite 302a, St Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 461-9330.

Mr Jesse Fazzingo is licensed to practice in Florida (license number ARNP9241959) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1316487218.

Contact Information

Mr Jesse Fazzingo, ARNP
1301 Plantation Island Dr S, Suite 302a,
St Augustine, FL 32080-3108
(904) 461-9330
Not Available

Map and Direction




Provider's Profile

Full NameMr Jesse Fazzingo
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location1301 Plantation Island Dr S, St Augustine, Florida
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jesse Fazzingo graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1316487218
  • Provider Enumeration Date: 02/27/2017
  • Last Update Date: 04/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8426326893
  • Enrollment ID: I20170608001064

Medical Identifiers

Medical identifiers for Mr Jesse Fazzingo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316487218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family ARNP9241959 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trilogy Home HealthcareJacksonville, FLHome health agency
Florida First Care IncOrange park, FLHome health agency
Nurse On CallDaytona beach, FLHome health agency
Vitas Healthcare Corporation Of FloridaMelbourne, FLHospice
Community Hospice Of Northeast Florida IncJacksonville, FLHospice
Flagler HospitalSaint augustine, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vitas Solutions Inc701208716636
Mobile Visiting Practitioners, Llc78102391007

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jesse Fazzingo allows following entities to bill medicare on his behalf.
Entity NameVitas Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861666497
PECOS PAC ID: 7012087166
Enrollment ID: O20080811000215
Entity NameAshfaq Kudia, M.d., P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265675219
PECOS PAC ID: 8224165410
Enrollment ID: O20100420000535
Entity NameMobile Visiting Practitioners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265915359
PECOS PAC ID: 7810239100
Enrollment ID: O20190507002879

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jesse Fazzingo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jesse Fazzingo, ARNP
1301 Plantation Island Dr S, Ste 302a,
Saint Augustine, FL 32080-3117

Ph: (904) 461-9330		Mr Jesse Fazzingo, ARNP
1301 Plantation Island Dr S, Suite 302a,
St Augustine, FL 32080-3108

Ph: (904) 461-9330

Reviews and Comments


Nurse Practitioner Nurses in St Augustine, FL

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Phone: 352-620-4630    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.