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

Q: 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.

Q: 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.

Q: 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.

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: August 16, 2026.

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

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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 Keralty 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 AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

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.

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

12 services12 patients

Hospital Affiliations CMS Care Compare

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

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.

What insurance does Rafael Fernandez accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare 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 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.