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DR. KATY MARTIN-FERNANDEZ PHD
NPI 1326604174
Psychologist - Clinical in Winston Salem, NC

Active since May 17, 2019PECOS EnrolledAccepts Medicare Assignment
4614 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 716-6099 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2022, May 17, 2019 (2 updates tracked since 2019).

About Dr. Katy Martin-fernandez Phd NPPES

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

DR. KATY MARTIN-FERNANDEZ PHD (NPI 1326604174) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (6237) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1326604174
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATY MARTIN-FERNANDEZCredential: PHD
Location Address4614 COUNTRY CLUB RDWinston Salem, NC 27104-3520
Mailing Address4614 Country Club RdWinston Salem, NC 27104-3520 · (367) 166-0993
Phone(336) 716-6099
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 17, 2019
Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1326604174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NC · 6237
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologistTaxonomy 103T00000X
4614 COUNTRY CLUB RD, Winston Salem, NC 27104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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

Dr. Katy Martin-fernandez Phd 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 ID345617684
PECOS Enrollment IDI20221031000706
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 27104 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

DR. TEMPLE V DAY M.D.
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-5122
MRS. STEPHANIE JANE MYERS M.D.
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3787
LYNNEE KAY VAUGHT MD
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3787
DR. MADISON MARIE HINKLE PHD
Psychologist
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-6099
EMILY ADDISON BARDOLPH MD
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3787
JEANINE RIVITUSO KENNEDY R.D., L.D.N.
Dietitian, Registered
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-6099
WILLIAM Y RICE III MD
Internal Medicine
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 716-5122
MICHELLE FAULKNER RD
Dietitian, Registered
4614 COUNTRY CLUB RD
WINSTON SALEM, NC 27104
Forsyth County (336) 713-0501

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 Katy Martin-fernandez's NPI number?

The NPI number for Katy Martin-fernandez is 1326604174. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Where is Katy Martin-fernandez located?

Katy Martin-fernandez practices at 4614 Country Club Rd, Winston Salem, NC 27104. The listed phone number is (336) 716-6099.

What is Katy Martin-fernandez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Katy Martin-fernandez enrolled in Medicare?

Yes. Katy Martin-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.

What insurance does Katy Martin-fernandez accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Katy Martin-fernandez 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 Katy Martin-fernandez was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.