ALICIA-MARIA FERNANDEZ D.O.
NPI 1407043458
Internal Medicine in Friendship, WI

Q: What is Alicia-maria Fernandez's NPI number?

The NPI number for Alicia-maria Fernandez is 1407043458. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Q: What is Alicia-maria Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 03, 2007PECOS Enrolled

402 W LAKE ST, FRIENDSHIP, WI 53934(608) 339-3331 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 29, 2017 and 1 more (4 updates tracked since 2017).

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About Alicia-maria Fernandez D.o. NPPES

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

ALICIA-MARIA FERNANDEZ D.O. (NPI 1407043458) is an individual internal medicine provider in Friendship, Wisconsin, licensed in Wisconsin (50947) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1407043458

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameALICIA-MARIA FERNANDEZCredential: D.O.

Location Address402 W LAKE STFriendship, WI 53934-9699

Mailing Address402 W Lake StFriendship, WI 53934-9699 · (608) 339-3331

Phone(608) 339-3331

Sole ProprietorNo

Enumeration DateOctober 3, 2007

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1407043458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 50947

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 50947 (WI)

402 W LAKE ST, Friendship, WI 53934

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Secondary Practice Location 1

Location 12555 N Martin Luther King DrMilwaukee, WI 53212-2709 · Phone (414) 267-4040 · Fax (414) 372-0793

Other Identifiers 2

OtherK400386662WI · Medicare Pin

Medicaid43545200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia-maria Fernandez D.o. 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.

Medicare Billing Reassignments

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

Moundview Memorial Hospital & Clinics, Inc

Same address

Critical Access

402 W LAKE ST
Friendship, WI 53934

Reassigned Medicare billing, Wisconsin enrollment
280 clinicians in this Medicare group

NPI 1710939533 (608) 339-3331

Mile Bluff Medical Center Inc

19 mi

Rural Health

1040 DIVISION ST
Mauston, WI 53948

Reassigned Medicare billing, Wisconsin enrollment
189 clinicians in this Medicare group

NPI 1881930527 (608) 847-6161

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53934 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

ROBERT E DOCHERTY RN

Nurse Practitioner (Family)