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ANDREA FERNANDEZ NP
NPI 1023577483
Nurse Practitioner - Family in Mcallen, TX

Active since March 15, 2019PECOS EnrolledAccepts Medicare Assignment
1401 E RIDGE RD STE C, MCALLEN, TX 78503(956) 317-4243(956) 800-4275 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2019, Jun 20, 2019, Mar 15, 2019 (3 updates tracked since 2019).

About Andrea Fernandez Np NPPES

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

ANDREA FERNANDEZ NP (NPI 1023577483) is an individual family provider in Mcallen, Texas, licensed in Texas (AP139793) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023577483
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA FERNANDEZCredential: NP
Location Address1401 E RIDGE RD STE CMcallen, TX 78503-1525
Mailing Address1401 E Ridge Rd Ste CMcallen, TX 78503-1525 · (956) 317-4243 · Fax (956) 800-4275
Phone(956) 317-4243
Fax(956) 800-4275
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 15, 2019
Last NPPES UpdateJune 28, 20223 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
✔ NPI 1023577483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP139793
1401 E RIDGE RD STE C, Mcallen, TX 78503
Open in Google Maps ↗

Other Names 1

Former Name (1)Andrea Garza

Other Identifiers 4

Other795177TX · Medicare Linked To J Ricardo Sobrevilla Md Pllc
OtherP02250072TX · Rr Medicare
Other397081601TX · Medicaid Linked To J Ricardo Sobrevilla Md Pllc
Other8KW481TX · Bcbxtx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Fernandez Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678816816
PECOS Enrollment IDI20190510000171
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
575 services206 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
181 services84 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
124 services116 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
41 services31 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
26 services18 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
24 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRIZIA CONSUELO CANTU FNP-BC
Nurse Practitioner
1401 E RIDGE RD STE C
MCALLEN, TX 78503
Hidalgo County (956) 371-4043

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 Andrea Fernandez's NPI number?

The NPI number for Andrea Fernandez is 1023577483. It was assigned to this individual provider in the NPPES registry on March 15, 2019. The provider is also known as Andrea Garza.

Where is Andrea Fernandez located?

Andrea Fernandez practices at 1401 E Ridge Rd Ste C, Mcallen, TX 78503. The listed phone number is (956) 317-4243.

What is Andrea Fernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Fernandez enrolled in Medicare?

Yes. Andrea Fernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Fernandez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Andrea 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.

Is Andrea Fernandez affiliated with any hospitals?

According to CMS data, Andrea Fernandez is affiliated with South Texas Health System and Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Fernandez was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.