KIMBERLY CHRISTINA FERNANDEZ APRN
NPI 1376325852
Nurse Practitioner in Tavares, FL

Q: What is Kimberly Fernandez's NPI number?

The NPI number for Kimberly Fernandez is 1376325852. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Q: What is Kimberly Fernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 18, 2023PECOS EnrolledAccepts Medicare Assignment

4100 WATERMAN WAY, TAVARES, FL 32778(352) 343-1117(866) 445-2968 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2023, Nov 17, 2023, Oct 19, 2023 (3 updates tracked since 2023).

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About Kimberly Christina Fernandez Aprn NPPES

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

KIMBERLY CHRISTINA FERNANDEZ APRN (NPI 1376325852) is an individual nurse practitioner in Tavares, Florida, licensed in Florida (APRN11029595) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376325852

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBERLY CHRISTINA FERNANDEZCredential: APRN

Location Address4100 WATERMAN WAYTavares, FL 32778-5270

Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 274-8200

Phone(352) 343-1117

Fax(866) 445-2968

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 18, 2023

Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1376325852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11029595

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN9226751 (FL)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN11029595 (FL)

4100 WATERMAN WAY, Tavares, FL 32778

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Secondary Practice Locations 2

Location 11340 N Hancock RdClermont, FL 34711-5952 · Phone (352) 394-1150 · Fax (352) 394-1560

Location 22955 Brownwood Blvd Ste 107The Villages, FL 32163-2040 · Phone (352) 765-7100 · Fax (352) 430-0210

Other Identifiers 1

Medicaid120457100FL

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

Kimberly Christina Fernandez Aprn 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 ID1759739899

PECOS Enrollment IDI20231129002805

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 32778 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 5

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

ARYN PATRICE MULHOLLAND PA-C

Physician Assistant