Nicholas Jay Fazio, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

A003071 Issued in AR

Practice address

6119 Midtown Ave Ste 202
Little Rock, AR 72205

Phone

(501) 664-4532

Fax

(501) 663-4335

NPI assigned

Dec 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Heart Hospital LLCGroup PAC ID 6002838653, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Heart Hospital, LLC Hospital, Little Rock, AR, CCN 040134
• Arkansas Heart Hospital-Encore Hospital, Bryant, AR, CCN 040161

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Arkansas Heart Hospital, LLC

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1558653212
  Medicare reassignment Care Compare group NPD
• Arkansas Heart Hospital Rural Health Services, LLC

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1548553811
  Medicare reassignment NPD
• Arkansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Bryant, AR
  • NPI 1841898293
  NPD
• Neuroscience Associates PA

  • Neurological Surgery Physician
  • North Little Rock, AR
  • NPI 1255397337
  NPD (past)

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

• Arkansas Heart Hospital, LLC

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1558653212

  Hospital

  Care Compare affiliation
• Arkansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1790775229
  Care Compare affiliation
• Arkansas Heart Hospital, LLC

  • General Acute Care Hospital
  • Bryant, AR
  • NPI 1841898293
  Care Compare affiliation

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1609050087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 MIDTOWN AVE STE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055316",
            "telephone_number": "501-664-4532",
            "fax_number": "501-663-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 MIDTOWN AVE STE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-664-4532",
            "fax_number": "501-663-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIO",
        "first_name": "NICHOLAS",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "AP05311",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A003071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Bethany Faulkner, PHARMD
• Sue Faulkner, AUD
• Ron E Faupel, PH.D.
• Amanda Michelle Faust
• Saima Fawad, M.D.
• Rachel L Fazio, PSY.D.
• Yama N Fazli, MD
• FC of Arkansas Inc
• Katelyn Brooke Feemster
• Charles Feild, MD

• Acute Care Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.