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LUISA FERNANDEZ PA-C
NPI 1164099784
Physician Assistant in Winston Salem, NC

Active since June 10, 2021PECOS Enrolled
140 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103(336) 245-2100 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Jul 21, 2021, Jun 10, 2021 (3 updates tracked since 2021).

About Luisa Fernandez Pa-c NPPES

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

LUISA FERNANDEZ PA-C (NPI 1164099784) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-11432) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winston Salem, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164099784
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLUISA FERNANDEZCredential: PA-C
Location Address140 KIMEL PARK DR STE 100Winston Salem, NC 27103-6185
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Phone(336) 245-2100
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 10, 2021
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1164099784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-11432
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
140 KIMEL PARK DR STE 100, Winston Salem, NC 27103
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Secondary Practice Location 1

Location 1512 Waughtown StWinston Salem, NC 27127-2236 · Phone (336) 792-1515 · Fax (336) 792-1518

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luisa Fernandez Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769952936
PECOS Enrollment IDI20260528003699
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 27103 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 8

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

HELEN KALIM ANDRAOS PA-C
Physician Assistant
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
DR. PAUL DAVID MCCLAIN M.D.
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
FORSYTH MEMORIAL HOSPITAL, INC
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
OLIVER BENTON IV MD
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
JOHN ROBERT SCHWABE M.D.
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
MS. KELSEY KILLEEN SMITH PA-C
Physician Assistant
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
JOHN GREGORY ALBRITTON NP
Nurse Practitioner
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100
NOVANT MEDICAL GROUP INC
Urology
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 245-2100

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 Luisa Fernandez's NPI number?

The NPI number for Luisa Fernandez is 1164099784. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Luisa Fernandez located?

Luisa Fernandez practices at 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103. The listed phone number is (336) 245-2100.

What is Luisa Fernandez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Luisa Fernandez enrolled in Medicare?

Yes. Luisa Fernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luisa Fernandez was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.