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KAISHLA MARIE FERNANDEZ RN
NPI 1306611074
Nurse Practitioner - Family in Depew, NY

Active since November 22, 2023PECOS Enrolled
3332 WALDEN AVE, DEPEW, NY 14043(716) 430-8995 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaishla Marie Fernandez Rn NPPES

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

KAISHLA MARIE FERNANDEZ RN (NPI 1306611074) is an individual family provider in Depew, New York, licensed in New York (F354185-01) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Depew.

NPPES Registry Identity

NPI1306611074
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAISHLA MARIE FERNANDEZCredential: RN
Location Address3332 WALDEN AVEDepew, NY 14043-2400
Mailing Address4768 BroadwayDepew, NY 14043-3820 · (716) 430-8995
Phone(716) 430-8995
Sole ProprietorYes
Enumeration DateNovember 22, 2023
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1306611074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F354185-01
Also ListedRegistered NurseTaxonomy 163W00000X · License 777682-01 (NY)
Also ListedNursing CareTaxonomy 251J00000X · License 777682-01 (NY)
3332 WALDEN AVE, Depew, NY 14043
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Secondary Practice Location 1

Location 14768 BroadwayDepew, NY 14043-3820 · Phone (716) 430-8995

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaishla Marie Fernandez Rn 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 14043 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 15

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

LAUREN VINSON BSW
Case Manager/Care Coordinator
3332 WALDEN AVE
DEPEW, NY 14043
Erie County (716) 880-3814
LAUREN GARDNER
Case Manager/Care Coordinator
3332 WALDEN AVE
DEPEW, NY 14043
Erie County (716) 880-3700
MRS. MERCEDES RIVERA-BARBER ANP
Nurse Practitioner
3332 WALDEN AVE, SUITE 110
DEPEW, NY 14043
Erie County (716) 668-7051
MRS. CAITLIN MARIE LAFFERTY NP
Nurse Practitioner (Gerontology)
3332 WALDEN AVE, SUITE 110
DEPEW, NY 14043
Erie County (716) 668-7051
DAWN MARIE SACKS NP
Nurse Practitioner (Adult Health)
3332 WALDEN AVE, SUITE 110
DEPEW, NY 14043
Erie County (716) 668-7051
LATSHIA MARIE GARDNER
Case Manager/Care Coordinator
3332 WALDEN AVE
DEPEW, NY 14043
Erie County (716) 880-3793
ADRIENNE KINKADE
Case Manager/Care Coordinator
3332 WALDEN AVE
DEPEW, NY 14043
Erie County (716) 880-3744
KATHRYN LYNDA OSETKOWSKI ANP
Nurse Practitioner (Adult Health)
3332 WALDEN AVE
DEPEW, NY 14043
Erie County (716) 668-7051

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 Kaishla Fernandez's NPI number?

The NPI number for Kaishla Fernandez is 1306611074. It was assigned to this individual provider in the NPPES registry on November 22, 2023.

Where is Kaishla Fernandez located?

Kaishla Fernandez practices at 3332 Walden Ave, Depew, NY 14043. The listed phone number is (716) 430-8995.

What is Kaishla Fernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kaishla Fernandez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kaishla Fernandez was last updated on April 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.