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MIRIAM E FERNANDES PMHNP
NPI 1245957042
Nurse Practitioner - Psychiatric/Mental Health in Raynham, MA

Active since October 21, 2022PECOS Enrolled

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2026, Oct 21, 2022 (2 updates tracked since 2022).

About Miriam E Fernandes Pmhnp NPPES

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

MIRIAM E FERNANDES PMHNP (NPI 1245957042) is an individual psychiatric/mental health provider in Raynham, Massachusetts, licensed in Massachusetts (RN2314619) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245957042
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMIRIAM E FERNANDESCredential: PMHNP
Location Address12 CODY LNRaynham, MA 02767-5230
Mailing Address2460 Praia Pl Apt 12Dulles, VA 20189-2460 · (508) 623-6765
Phone(508) 623-6765
Sole ProprietorYes
Enumeration DateOctober 21, 2022
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1245957042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2314619
12 CODY LN, Raynham, MA 02767
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam E Fernandes Pmhnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Miriam Fernandes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pratt Medical Group, Inc
20 mi
Internal Medicine
1690 CROWN COLONY DR, SUITE 209
Quincy, MA 02169
  • Reassigned Medicare billing, Massachusetts enrollment
  • 334 clinicians in this Medicare group
NPI 1447525241 (617) 364-4380

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services11 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02767 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 Miriam Fernandes's NPI number?

The NPI number for Miriam Fernandes is 1245957042. It was assigned to this individual provider in the NPPES registry on October 21, 2022.

Where is Miriam Fernandes located?

Miriam Fernandes practices at 12 Cody Ln, Raynham, MA 02767. The listed phone number is (508) 623-6765.

What is Miriam Fernandes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Miriam Fernandes enrolled in Medicare?

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

Which organization bills Medicare for Miriam Fernandes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Fernandes reassigns Medicare benefits to Pratt Medical Group, Inc (Quincy, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miriam Fernandes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miriam Fernandes accept?

Health plans from Harvard Pilgrim Health Care and Taro Health list Miriam 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 Miriam Fernandes was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.