Individual provider Active NPI

Patricia Mae Fajardo, FNP-C

  • Family Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1609346675
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24703 Issued in TN
Practice address
242 Indian Lake Blvd Ste 100
Hendersonville, TN 37075-6205
Phone
(615) 822-5660
Fax
(615) 822-5611
NPI assigned
Dec 3, 2018
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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 24703 TN Primary

Addresses

Primary practice location

242 Indian Lake Blvd Ste 100
Hendersonville, TN 37075-6205

Mailing address

242 Indian Lake Blvd Ste 100
Hendersonville, TN 37075-6205
Phone (615) 822-5660

Other practice location 1

3601 The Vanderbilt Clinic
Nashville, TN 37232-2444
Phone (615) 322-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210628003581 TN Practitioner - Nurse Practitioner 4587065578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Rheumatology Care PLLCGroup PAC ID 7113929894, 4 clinicians

Practice addresses (Care Compare)

242 Indian Lake Blvd
Suite 100
Hendersonville, TN 37075-6205
Phone (615) 822-5660

Merit-based Incentive Payment System (MIPS)

Final score
71.98 of 100Reported as group
Quality
27.23
Promoting interoperability
94
Improvement activities
40
Cost
75.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24703TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Family CurrentSince Nov 18, 2022 Accepting new patients
Comprehensive Rheumatology Care PLLC CurrentSince Oct 3, 2025 Accepting new patients

Locations

123 Northcreek Blvd
Goodlettsvlle, TN 37072
Phone (615) 851-5860

1010 Glenbrook Way
Hendersonville, TN 37075
Phone (615) 590-1018

242 Indian Lake Blvd
Ste 100
Hendersonvlle, TN 37075
Phone (615) 822-5660

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • Direct secure messaging: patricia.fajardo.1@30188.direct.athenahealth.com
  • Direct secure messaging: patricia.fajardo@krogerhealth.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1609346675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 INDIAN LAKE BLVD STE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756205",
            "telephone_number": "615-822-5660",
            "fax_number": "615-822-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 INDIAN LAKE BLVD STE 100",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756205",
            "telephone_number": "615-822-5660",
            "fax_number": "615-822-5611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 The Vanderbilt Clinic",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372322444",
            "country_code": "US",
            "telephone_number": "615-322-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "PATRICIA",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.