Individual provider Active NPI

Anthony L Fajardo, N.P.

  • Acute Care Nurse Practitioner
  • Irving, TX
National Provider Identifier
1407367592
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP135476 Issued in TX
Practice address
6363 N State Highway 161 Ste 100
Irving, TX 75038-2239
Phone
(469) 200-3272
NPI assigned
Oct 17, 2017
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP135476 TX
Acute Care Nurse Practitioner 363LA2100X AP135476 TX Primary
Gerontology Nurse Practitioner 363LG0600X AP135476 TX

Addresses

Primary practice location

6363 N State Highway 161 Ste 100
Irving, TX 75038-2239

Mailing address

411 Kirk LN
Cedar Hill, TX 75104-2801
Phone (469) 939-7812

Other practice location 1

4293 Kinsey Dr
Tyler, TX 75703-1004
Phone (888) 311-0510

Other practice location 2

5057 Keller Springs Rd Ste 300
Addison, TX 75001-6916
Phone (972) 372-9775

Other identifiers 1

IdentifierTypeStateIssuer
1174155477OtherTXNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://app.medsender.com/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181120001903 TX Practitioner - Nurse Practitioner 9436179264 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Pain and Rehabilitation PLLCGroup PAC ID 2466616032, 12 clinicians
Dallas Medical Specialists, PLLCGroup PAC ID 3072895788, 86 clinicians
Cam Equity LLCGroup PAC ID 0547599045, 13 clinicians

Practice addresses (Care Compare)

3160 Gus Thomasson Rd
Mesquite, TX 75150-4048
Phone (214) 502-9771

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-6200

5802 Berryhill Dr
Arlington, TX 76017-3925
Phone (682) 321-7007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135476TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cam Equity LLC CurrentSince Feb 20, 2026 Accepting new patients
Burnaby Medical Group LLC CurrentSince Oct 1, 2025 Accepting new patients
Bella Hospice and Healthcare LLC Geriatric Medicine Current Accepting new patients
Odette Louise Campbell MD PA CurrentSince Jan 30, 2026 Accepting new patients
Wellmed Networks, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Molina Care Connections, LLC. Nurse Practitioner CurrentSince Mar 23, 2026 Accepting new patients
Gulf Shoals PLLC CurrentSince Oct 1, 2025 Accepting new patients
Dallas Medical Specialists, PLLC CurrentSince Jan 25, 2022 Accepting new patients
Texas Palliative Services PA CurrentSince Oct 3, 2024 Accepting new patients
Paragon Pain & Rehabilitation PLLC CurrentSince Dec 14, 2023 Accepting new patients
Texas Palliative Services PA CurrentSince Oct 3, 2024 Accepting new patients
J & J Homely Hospice and Palliative Care LLC Geriatric Medicine PastSince May 17, 2019 Accepting new patients
Texas Palliative Services PA PastSince Jul 21, 2024 Accepting new patients

Locations (25 of 26)

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

16633 Dallas Pkwy
Ste 425
Addison, TX 75001
Phone (469) 365-2225

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

224 W Pleasant Run Rd
Cedar Hill, TX 75104
Phone (972) 291-5977

2918 Duncanville Rd
Dallas, TX 75211
Phone (214) 467-7090

4200 Live Oak St
Dallas, TX 75204
Phone (214) 821-0050

7777 Forest Ln
Ste C300
Dallas, TX 75230
Phone (972) 566-6000

330 W Camp Wisdom Rd
Duncanville, TX 75116
Phone (972) 298-3398

2000 W Audie Murphy Pkwy
Farmersville, TX 75442
Phone (972) 784-7700

3100 Peters Colony Rd
Flower Mound, TX 75022
Phone (214) 513-0310

900 Jerome St
Ste 204
Fort Worth, TX 76104
Phone (817) 885-7827

7100 Trail Lake Dr
Ft Worth, TX 76123
Phone (214) 363-5100

1113 W Pipeline Rd
Ste 115
Hurst, TX 76053
Phone (817) 506-4857

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

225 N Sowers Rd
Irving, TX 75061
Phone (972) 253-4173

2801 Gateway Dr
Ste 100
Irving, TX 75063
Phone (410) 356-5290

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265

2535 W Pleasant Run Rd
Lancaster, TX 75146
Phone (972) 228-8029

3160 Gus Thomasson Rd
Mesquite, TX 75150
Phone (214) 502-9771

110 Dylan Way
Midlothian, TX 76065
Phone (817) 632-1000

3516 NE Stallings Dr
Ste B
Nacogdoches, TX 75965
Phone (936) 585-6140

2895 Lewis Ln
Paris, TX 75460
Phone (903) 784-4111

4701 Old Shepard Pl
Ste 260
Plano, TX 75093
Phone (972) 440-5389

5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900

8277 Belleview Dr
Ste 275
Plano, TX 75024
Phone (469) 365-2225

Interoperability endpoints

  • Direct secure messaging: afajardo@landmarkhealth-direct.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFFBCD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Town and Country Home Care & Rehab LLCVan Alstyne, TX, CCN 747302 Home health agency 5% Or Greater Indirect Ownership Interest (33.33%)
Corporate Director (33.33%)
Jan 22, 2019
Jan 22, 2019
Champion Healthcare of North TexasSouthlake, TX, CCN 741517 Hospice 5% Or Greater Direct Ownership Interest (24.5%)
Corporate Officer
Oct 25, 2021
Oct 25, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1407367592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 KIRK LN",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042801",
            "telephone_number": "469-939-7812",
            "fax_number": "866-871-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 N STATE HIGHWAY 161 STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382239",
            "telephone_number": "469-200-3272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4293 Kinsey Dr",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757031004",
            "country_code": "US",
            "telephone_number": "888-311-0510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5057 Keller Springs Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750016916",
            "country_code": "US",
            "telephone_number": "972-372-9775",
            "fax_number": "866-871-3775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "ANTHONY",
        "middle_name": "L",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135476",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP135476",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP135476",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174155477",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.medsender.com/",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant messaging system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4293 Kinsey Dr",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757031004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.