Individual provider Active NPI

Claudia Fantucci, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1205480183
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-1422772 Issued in AL
Practice address
3 Mobile Infirmary Cir
Suite 212
Mobile, AL 36607
Phone
(251) 433-2609
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-1422772 AL Primary

Addresses

Primary practice location

3 Mobile Infirmary Cir
Suite 212
Mobile, AL 36607

Mailing address

3 Mobile Infirmary Cir Ste 212
Mobile, AL 36607-3514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917001840 AL Practitioner - Nurse Practitioner 6305243320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
69.72
Improvement activities
40
Cost
83.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-1422772ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Association of Mobile,P.a. CurrentSince May 11, 2021 Accepting new patients
Frontera Strategies, LLC PastSince Aug 6, 2019 Accepting new patients

Locations

3 Mobile Infirmary Cir
Ste 212
Mobile, AL 36607
Phone (205) 433-2609

Interoperability endpoints

  • Direct secure messaging: ciciartecastrov83073@directinfirmaryhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1205480183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR STE 212",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 212",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36607",
            "telephone_number": "251-433-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTUCCI",
        "first_name": "CLAUDIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-1422772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.