Individual provider Active NPI

Robert Wayne Fakler, PA

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1346541448
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11030 Issued in AZ
Practice address
1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone
(480) 543-2000
NPI assigned
Nov 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-11262 NC
Surgical Physician Assistant 363AS0400X PA2019-0031 NM
Physician Assistant 363A00000X 11030 AZ Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

1900 N Higley Rd
Gilbert, AZ 85234-1604

Mailing address

49 Conestee St
Asheville, NC 28801-1201
Phone (575) 339-3384

Other practice location 1

21 Hospital Drive
4th Floor
Asheville, NC 28801-4550
Phone (828) 253-4262

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.fakler.1@1928.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210923002897 NC Practitioner - Physician Assistant 0941562862 Reassigns benefits to 5 organizations
I20250603002063 AZ Practitioner - Physician Assistant 0941562862 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-11262NCMDPhysician Assistant
PA2019-0031NMMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jan 17, 2022 Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 28, 2021 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jan 17, 2022 Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 28, 2021 Accepting new patients
DLP Harris Regional Hospital LLC Physician Assistant CurrentSince Apr 22, 2024 Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients
Emergency Coverage Services, PC Physician Assistant Past Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

21 Hospital Dr
Fl 2
Asheville, NC 28801
Phone (828) 213-2430

14 Medical Park Dr
Asheville, NC 28803
Phone (828) 213-4103

1 Hospital Dr
Ste 4200
Asheville, NC 28801
Phone (828) 213-1994

21 Hospital Dr
Fl 4
Asheville, NC 28801

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

21 Hospital Dr
Asheville, NC 28801
Phone (828) 213-0100

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1346541448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CONESTEE ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011201",
            "telephone_number": "575-339-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341604",
            "telephone_number": "480-543-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Hospital Drive",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-253-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAKLER",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-05",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11262",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NM",
            "license": "PA2019-0031",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11030",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.fakler.1@1928.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4351 E Lohman Ave Ste 204",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880118260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.