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MRS. CAROLYN ANN FERNANDEZ RN, MSN, APRN-BC
NPI 1013903954
Nurse Practitioner - Acute Care in Toms River, NJ

Active since September 26, 2005PECOS Enrolled
250 STATE ROUTE 37 W FL 2, TOMS RIVER, NJ 08755(732) 736-0300(732) 736-9600 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Carolyn Ann Fernandez Rn, Msn, Aprn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CAROLYN ANN FERNANDEZ RN, MSN, APRN-BC (NPI 1013903954) is an individual acute care provider in Toms River, New Jersey, licensed in New Jersey (26NN09093100) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Neptune.

NPPES Registry Identity

NPI1013903954
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. CAROLYN ANN FERNANDEZCredential: RN, MSN, APRN-BC
Location Address250 STATE ROUTE 37 W FL 2Toms River, NJ 08755
Mailing Address250 State Route 37 W Fl 2Toms River, NJ 08755-8023 · (732) 736-0300 · Fax (732) 736-9600
Phone(732) 736-0300
Fax(732) 736-9600
Sole ProprietorNo
Enumeration DateSeptember 26, 2005
Last NPPES UpdateAugust 6, 2018
✔ NPI 1013903954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NN09093100
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X · License 26NN09093100 (NJ)
250 STATE ROUTE 37 W FL 2, Toms River, NJ 08755
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Secondary Practice Location 1

Location 11945 State Route 33, Trauma Department - JSUMCNeptune, NJ 07753-4859 · Phone (732) 776-4747 · Fax (732) 776-4843

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carolyn Ann Fernandez Rn, Msn, Aprn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Fernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Perinatal, L.L.C.
3.4 mi
Maternal & Fetal Medicine
1416 HOOPER AVE, SUITE 1
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1942489174 (732) 736-0300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Fernandez's NPI number?

The NPI number for Carolyn Fernandez is 1013903954. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Carolyn Fernandez located?

Carolyn Fernandez practices at 250 State Route 37 W Fl 2, Toms River, NJ 08755. The listed phone number is (732) 736-0300.

What is Carolyn Fernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Carolyn Fernandez enrolled in Medicare?

Yes. Carolyn Fernandez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolyn Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Fernandez reassigns Medicare benefits to Premier Perinatal, L.L.C. (Toms River, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Fernandez accept?

Health plans from Oscar Health list Carolyn Fernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Fernandez was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.