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DR. LUPITA FERNANDEZ D.M.D,
NPI 1083624480
Dentist - General Practice in Mount Vernon, WA

Active since August 08, 2006Opted out of Medicare · through Aug 26, 2027
1711 E DIVISION ST, MOUNT VERNON, WA 98274(360) 424-7089 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lupita Fernandez D.m.d, NPPES

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

DR. LUPITA FERNANDEZ D.M.D, (NPI 1083624480) is an individual general practice provider in Mount Vernon, Washington, licensed in Washington (DE00007379) and active in the NPI registry since August 2006. She has opted out of Medicare through August 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083624480
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LUPITA FERNANDEZCredential: D.M.D,
Location Address1711 E DIVISION STMount Vernon, WA 98274-4501
Mailing Address1711 E Division StMount Vernon, WA 98274-4501 · (360) 424-7089
Phone(360) 424-7089
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1083624480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00007379
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1711 E DIVISION ST, Mount Vernon, WA 98274
Open in Google Maps ↗

Other Identifiers 2

Other1854PR · Dental Licence
OtherDE00007379WA · General Dentist

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lupita Fernandez D.m.d, has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 26, 2015 through August 26, 2027.

Opt-Out Effective DateAugust 26, 2015
Opt-Out In Effect ThroughAugust 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 2

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

LUPITA FERNANDEZ, DMD, PS
Dentist
1711 E DIVISION ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-7089
DR. PAUL M. HALGREN DDS,MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
1711 E DIVISION ST, SUITE A
MOUNT VERNON, WA 98274
Skagit County (360) 336-3436

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 Lupita Fernandez's NPI number?

The NPI number for Lupita Fernandez is 1083624480. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Lupita Fernandez located?

Lupita Fernandez practices at 1711 E Division St, Mount Vernon, WA 98274. The listed phone number is (360) 424-7089.

What is Lupita Fernandez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lupita Fernandez enrolled in Medicare?

No. Lupita Fernandez has opted out of Medicare through August 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lupita Fernandez was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.