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SUSAN FERNANDES
NPI 1104211275
Pediatrics in Marshall, TX

Active since April 05, 2015PECOS Enrolled
620 S GROVE ST STE 105, MARSHALL, TX 75670(903) 935-9441(903) 938-1246 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Fernandes NPPES

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

SUSAN FERNANDES (NPI 1104211275) is an individual pediatrics provider in Marshall, Texas, licensed in Texas (S2579) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104211275
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUSAN FERNANDES
Location Address620 S GROVE ST STE 105Marshall, TX 75670-5295
Mailing AddressPo Box 1326Marshall, TX 75671-1326 · (903) 927-3782 · Fax (903) 927-1764
Phone(903) 935-9441
Fax(903) 938-1246
Sole ProprietorNo
Enumeration DateApril 5, 2015
Last NPPES UpdateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1104211275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · S2579
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
620 S GROVE ST STE 105, Marshall, TX 75670
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Other Identifiers 1

OtherS2579TX · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, 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 (PECOS)

Susan Fernandes 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75670 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 3

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

LINDSEY MONTGOMERY LCSW
Social Worker
620 S GROVE ST STE 105
MARSHALL, TX 75670
Harrison County (903) 720-3966
DAVID C LOPEZ LCSW
Social Worker (Clinical)
620 S GROVE ST STE 105
MARSHALL, TX 75670
Harrison County (903) 702-7900
EAST TEXAS BORDER HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
620 S GROVE ST STE 105
MARSHALL, TX 75670
Harrison County (903) 935-9441

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 Susan Fernandes's NPI number?

The NPI number for Susan Fernandes is 1104211275. It was assigned to this individual provider in the NPPES registry on April 5, 2015.

Where is Susan Fernandes located?

Susan Fernandes practices at 620 S Grove St Ste 105, Marshall, TX 75670. The listed phone number is (903) 935-9441.

What is Susan Fernandes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Fernandes enrolled in Medicare?

Yes. Susan Fernandes is registered in the Medicare PECOS enrollment system.

What insurance does Susan Fernandes accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Susan Fernandes 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 Susan Fernandes was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.