Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Nicholas Jay Fazio, APN

Individual provider Acute Care Nurse Practitioner · NPI 1609050087

Mr. Nicholas Jay Fazio, APN is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2007, 19 years ago. Practices with Arkansas Heart Hospital LLC, a 85-clinician group and accepts Medicare assignment. Licensed in Arkansas and Louisiana.

Years since qualifying
19
Licensed in
AR, LA
In the registry since
2007
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

6119 Midtown Ave Ste 202
Little Rock, AR 72205
Phone: (501) 664-4532
Fax: (501) 663-4335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence A003071 (AR)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP05311 (LA)

Record details

NPI number1609050087
Entity typeIndividual (Type 1)
GenderMale
Credentials APN
Sole proprietorNo
NPI enumeratedDecember 20, 2007
Last updated in NPPESDecember 13, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Arkansas Heart Hospital Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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