Active NPI
Annie Michele Fagundes, NURSE PRACTITIONER
- Family Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95002607
- Practice address
- 559 Vincent St SPC Base
Colorado Springs, CO 80914-1541 - Phone
- (719) 556-2322
- NPI assigned
- Jul 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95002607 | CA | Primary |
Addresses
Primary practice location
559 Vincent St SPC Base
Colorado Springs, CO 80914-1541
Mailing address
559 Vincent St SPC Base
Colorado Springs, CO 80914-1541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100
Hospital & facility affiliations
- Oroville Hospital
- Adventist Health Sonora
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95002607 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Orohealth Corporation a Non Profit Healthcare System | Current | Accepting new patients | |
| University Faculty Associates, Inc. | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1611 Feather River Blvd
Oroville, CA 95965
Phone (530) 532-8523
2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
1611 Feather River Blvd
Ste 6
Oroville, CA 95965
Phone (530) 532-8504
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
Interoperability endpoints
- afagundes365414@direct.ochin.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Sonora, CA
- NPI 1033100854
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Family Medicine Physician
- Oroville, CA
- NPI 1013933167
-
- Emergency Medicine Physician
- Reedley, CA
- NPI 1609143452
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1235537283
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1891178182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 VINCENT ST SPC BASE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809141541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 VINCENT ST SPC BASE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809141541",
"telephone_number": "719-556-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGUNDES",
"first_name": "ANNIE",
"middle_name": "MICHELE",
"name_prefix": "Miss",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-04",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95002607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.