NICOLE BLISS FERNANDEZ CPNP, MPH
NPI 1487177432
Nurse Practitioner - Pediatrics in New York, NY

Active since July 21, 2017PECOS EnrolledAccepts Medicare Assignment
1275 YORK AVE, NEW YORK, NY 10065(914) 227-6785 Get Directions Write a Review

NPPES record last updated: April 14, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 14, 2019, Oct 8, 2018, Jul 21, 2017 (3 updates tracked since 2017).

About Nicole Bliss Fernandez Cpnp, Mph NPPES

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

NICOLE BLISS FERNANDEZ CPNP, MPH (NPI 1487177432) is an individual pediatrics provider in New York, New York, licensed in New York (382953) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1487177432
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNICOLE BLISS FERNANDEZCredential: CPNP, MPH
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address104 High View DrCarmel, NY 10512-6134 · (914) 227-6785
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 21, 2017
Last NPPES UpdateApril 14, 20193 updates tracked since enumeration
NPI 1487177432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in NY · 382953 Licensed in MA · RN2310326 Licensed in CT · 7582
1275 YORK AVE, New York, NY 10065

Secondary Practice Location 1

Location 120 York StNew Haven, CT 06510 · Phone (914) 227-6785

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

Nicole Bliss Fernandez Cpnp, Mph 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 ID4587917984
PECOS Enrollment IDI20200317000901
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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Nicole Fernandez's NPI number?

The NPI number for Nicole Fernandez is 1487177432. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Nicole Fernandez located?

Nicole Fernandez practices at 1275 York Ave, New York, NY 10065. The listed phone number is (914) 227-6785.

What is Nicole Fernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nicole Fernandez enrolled in Medicare?

Yes. Nicole 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.

When was this NPI record last updated?

The NPPES record for Nicole Fernandez was last updated on April 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.