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DR. RAFAEL RAMON FERNANDEZ MD, APRN
NPI 1073197794
Nurse Practitioner - Psychiatric/Mental Health in Doral, FL

Active since May 09, 2021PECOS EnrolledAccepts Medicare Assignment
4834 NW 110TH PL, DORAL, FL 33178(786) 326-4240 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2021, May 9, 2021 (2 updates tracked since 2021).

About Dr. Rafael Ramon Fernandez Md, Aprn NPPES

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

DR. RAFAEL RAMON FERNANDEZ MD, APRN (NPI 1073197794) is an individual psychiatric/mental health provider in Doral, Florida, licensed in Florida (APRN11012992) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Larkin Community Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073197794
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. RAFAEL RAMON FERNANDEZCredential: MD, APRN
Location Address4834 NW 110TH PLDoral, FL 33178-4310
Mailing Address4834 Nw 110th PlDoral, FL 33178-4310 · (786) 326-4240
Phone(786) 326-4240
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 9, 2021
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedOctober 23, 2021
✔ NPI 1073197794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11012992
Also ListedFamily MedicineTaxonomy 207Q00000X · License NJDCATEMP041658 (NJ), HSE24274 (FL), CV2102936 (IN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11012992 (FL)
4834 NW 110TH PL, Doral, FL 33178
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rafael Ramon Fernandez Md, Aprn 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 ID4486054871
PECOS Enrollment IDI20210607000456
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 Reassignments

4

Medicare enrollment records show Rafael Fernandez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Excellence Medical Group Corp
4.4 mi
Psychiatry
7959 NW 2ND ST
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1497049423 (305) 267-6060
L.S.L Medical Center, Inc
7.3 mi
Internal Medicine
4640 W FLAGLER ST
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1861738197 (305) 443-8229
Carmen Espinosa - Perez MD, Inc.
9.4 mi
Psychiatry
13500 SW 88TH ST STE 195
Miami, FL 33186
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1861246829 (305) 753-7350
Related Medical Group Inc
24 mi
Psychiatry
633 N KROME AVE STE 1
Homestead, FL 33030
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1619634136 (305) 763-4007

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

Areas of Expertise CMS Part B claims 4

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.

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
30 services14 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.
28 services13 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
27 services21 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Larkin Community Hospital

Acute Care Hospitals · South Miami, FL
OwnershipProprietary
CMS Certification Number100181
Location7031 SW 62nd AveSouth Miami, FL 33143 · Miami-Dade County
Emergency services

Keralty Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100284
Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33178 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 Rafael Fernandez's NPI number?

The NPI number for Rafael Fernandez is 1073197794. It was assigned to this individual provider in the NPPES registry on May 9, 2021.

Where is Rafael Fernandez located?

Rafael Fernandez practices at 4834 NW 110th Pl, Doral, FL 33178. The listed phone number is (786) 326-4240.

What is Rafael Fernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rafael Fernandez enrolled in Medicare?

Yes. Rafael 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.

Which organizations bill Medicare for Rafael Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Fernandez reassigns Medicare benefits to 4 organizations: Excellence Medical Group Corp (Miami, FL), L.S.L Medical Center, Inc (Coral Gables, FL), Carmen Espinosa - Perez MD, Inc. (Miami, FL) and Related Medical Group Inc (Homestead, FL). Each 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 Rafael Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Fernandez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Cigna HealthCare of Florida, Inc. and 3 other insurers list Rafael 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 Rafael Fernandez affiliated with any hospitals?

According to CMS data, Rafael Fernandez is affiliated with Larkin Community Hospital and Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Fernandez was last updated on December 9, 2021. 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.