Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANGELICA FERNANDO DMD
NPI 1154241776
Dentist - General Practice in Carbondale, IL

Q: What is Angelica Fernando's NPI number?

The NPI number for Angelica Fernando is 1154241776. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Q: What is Angelica Fernando's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angelica Fernando was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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 July 16, 2026PECOS Enrolled

402 S LEWIS LN, CARBONDALE, IL 62901(618) 519-9200 Get Directions Write a Review

NPPES record added: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Angelica Fernando Dmd NPPES

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

ANGELICA FERNANDO DMD (NPI 1154241776) is an individual general practice provider in Carbondale, Illinois, licensed in Illinois (019.037323) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154241776

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameANGELICA FERNANDOCredential: DMD

Location Address402 S LEWIS LNCarbondale, IL 62901-3547

Mailing Address109 California St, Po Box 577Carterville, IL 62918

Phone(618) 519-9200

Sole ProprietorNo

Enumeration DateJuly 16, 2026

NPPES CertifiedJuly 16, 2026

✔ NPI 1154241776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019.037323

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.

402 S LEWIS LN, Carbondale, IL 62901

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelica Fernando Dmd 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 62901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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 7

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

AUDREY FIELDS DDS

Dentist