ROSITA M FERNANDEZ
NPI 1376062851
Psychologist in Burlington, WI

Active since September 15, 2017PECOS EnrolledAccepts Medicare Assignment
318 MARGARET CT, BURLINGTON, WI 53105(812) 201-3912 Get Directions Write a Review

NPPES record last updated: January 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2022, Dec 1, 2021, Jan 10, 2018 and 1 more (4 updates tracked since 2017).

About Rosita M Fernandez NPPES

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

ROSITA M FERNANDEZ (NPI 1376062851) is an individual psychologist in Burlington, Wisconsin, licensed in Wisconsin (3535) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1376062851
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameROSITA M FERNANDEZ
Location Address318 MARGARET CTBurlington, WI 53105-2330
Mailing Address318 Margaret CtBurlington, WI 53105-2330 · (812) 201-3912
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 15, 2017
Last NPPES UpdateJanuary 8, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2022
✔ NPI 1376062851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WI · 3535
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
318 MARGARET CT, Burlington, WI 53105

Other Identifiers 2

Medicaid300007198ININ
Medicaid1376062851WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rosita M Fernandez 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 ID7416221502
PECOS Enrollment IDI20230324001341
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 Reassignments

2

Medicare enrollment records show Rosita Fernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Service
318 MARGARET CT
Burlington, WI 53105
  • Reassigned Medicare billing, Wisconsin enrollment
Clinical
2151 LAFAYETTE AVE STE 105
Terre Haute, IN 47805
  • Reassigned Medicare billing, Indiana enrollment
  • 2 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 2

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

Psychologist (Health Service)
318 MARGARET CT
BURLINGTON, WI 53105
Psychologist (Health Service)
318 MARGARET CT
BURLINGTON, WI 53105

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 Rosita Fernandez's NPI number?

The NPI number for Rosita Fernandez is 1376062851. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Where is Rosita Fernandez located?

Rosita Fernandez practices at 318 Margaret Ct, Burlington, WI 53105. The listed phone number is (812) 201-3912.

What is Rosita Fernandez's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Rosita Fernandez enrolled in Medicare?

Yes. Rosita 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.

Which organizations bill Medicare for Rosita Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosita Fernandez reassigns Medicare benefits to 2 organizations: Wisconsin Psychology Associates, LLC (Burlington, WI) and Coffee Clutch Counseling Services, LLC (Terre Haute, IN). Each 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 Rosita Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosita Fernandez accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare), HealthPartners and UnitedHealthcare list Rosita 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 Rosita Fernandez was last updated on January 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.