EDEN FERNANDEZ PA-C
NPI 1255681631
Physician Assistant in Ellicott City, MD

Active since September 13, 2012PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
3300 CENTENNIAL LN, ELLICOTT CITY, MD 21042(866) 389-2727 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2020, May 22, 2020, Jun 14, 2019 (3 updates tracked since 2019).

About Eden Fernandez Pa-c NPPES

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

EDEN FERNANDEZ PA-C (NPI 1255681631) is an individual physician assistant in Ellicott City, Maryland, licensed in Maryland (C0004811) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255681631
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEDEN FERNANDEZCredential: PA-C
Location Address3300 CENTENNIAL LNEllicott City, MD 21042-3600
Mailing Address3300 Centennial LnEllicott City, MD 21042-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 13, 2012
Last NPPES UpdateJune 10, 20203 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
NPI 1255681631 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 MD · C0004811
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.

3300 CENTENNIAL LN, Ellicott City, MD 21042

Secondary Practice Locations 2

Location 11411 Madison Park Dr, Suite 1BGlen Burnie, MD 21061-6185 · Phone (410) 553-6360 · Fax (410) 553-6661
Location 285 Kindred Way Apt 101Glen Burnie, MD 21061-5246 · Phone (410) 553-6360 · Fax (410) 553-6661

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Eden Fernandez Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436583218
PECOS Enrollment IDI20200701002368
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.

Areas of Expertise CMS Part B claims 6

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 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.
58 services52 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.
49 services46 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
22 services21 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
13 services12 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21042 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

Other Providers at the Same Location NPPES 19

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

Pharmacist
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Physician Assistant
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Nurse Practitioner (Family)
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Nurse Practitioner (Family)
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Pharmacist
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Pharmacist
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Pharmacist
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042
Pharmacist
3300 CENTENNIAL LN
ELLICOTT CITY, MD 21042

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 Eden Fernandez's NPI number?

The NPI number for Eden Fernandez is 1255681631. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Where is Eden Fernandez located?

Eden Fernandez practices at 3300 Centennial Ln, Ellicott City, MD 21042. The listed phone number is (866) 389-2727.

What is Eden Fernandez's specialty?

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

Is Eden Fernandez enrolled in Medicare?

Yes. Eden Fernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Eden Fernandez affiliated with any hospitals?

According to CMS data, Eden Fernandez is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Eden Fernandez was last updated on June 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.