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NICOLE FERNANDES
NPI 1558997569
Nurse Practitioner in Oakland, CA

Active since March 21, 2020PECOS EnrolledAccepts Medicare Assignment
3850 GRAND AVE, OAKLAND, CA 94610(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Fernandes NPPES

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

NICOLE FERNANDES (NPI 1558997569) is an individual nurse practitioner in Oakland, California, licensed in California (95012649) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1558997569
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE FERNANDES
Location Address3850 GRAND AVEOakland, CA 94610-1004
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2020
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1558997569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95012649
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95012649 (CA)
3850 GRAND AVE, Oakland, CA 94610
Open in Google Maps ↗

Other Identifiers 1

Other95012649CA · Nurse Practitioner License Number

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

Nicole Fernandes 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 ID4284088295
PECOS Enrollment IDI20230925003412
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 Nicole Fernandes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

One Medical Group, Inc.
8.4 mi
Family Medicine
2 EMBARCADERO CTR LBBY LEVEL
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 291 clinicians in this Medicare group
NPI 1467781641 (415) 578-3100
Santa Rosa Community Health Centers
48 mi
Federally Qualified Health Center (FQHC)
599 BELLEVUE AVE
Santa Rosa, CA 95407
  • Reassigned Medicare billing, California enrollment
  • 215 clinicians in this Medicare group
NPI 1871651273 (707) 528-5770

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 94610 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 12

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

MARIA BHAIJEE M.D.
Pediatrics
3850 GRAND AVE
OAKLAND, CA 94610
Alameda County (415) 225-1013
DR. JESSICA A MILLER MD
Family Medicine
3850 GRAND AVE
OAKLAND, CA 94610
Alameda County (510) 225-1025
JERRY WONG
Nurse Practitioner
3850 GRAND AVE
OAKLAND, CA 94610
Alameda County (888) 663-6331
MS. KATHERINE MURRAY FNP
Nurse Practitioner (Family)
3850 GRAND AVE
OAKLAND, CA 94610
Alameda County (510) 225-1013
PEGGY NEWCOMER DO
Family Medicine
3850 GRAND AVE
OAKLAND, CA 94610
Alameda County (888) 663-6331
MR. SCOTT BERNING FNP-C, RN
Nurse Practitioner (Family)
3850 GRAND AVE
OAKLAND, CA 94610
Alameda County (888) 663-6331
MRS. MAUREEN ALICE ASHIKU NP
Nurse Practitioner (Family)
3850 GRAND AVE
OAKLAND, CA 94610
Alameda County (510) 225-1013
GITA M. MOAREFI MD
Internal Medicine
3850 GRAND AVE
OAKLAND, CA 94610
Alameda County (888) 663-6331

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 Fernandes's NPI number?

The NPI number for Nicole Fernandes is 1558997569. It was assigned to this individual provider in the NPPES registry on March 21, 2020.

Where is Nicole Fernandes located?

Nicole Fernandes practices at 3850 Grand Ave, Oakland, CA 94610. The listed phone number is (888) 663-6331.

What is Nicole Fernandes's specialty?

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

Is Nicole Fernandes enrolled in Medicare?

Yes. Nicole Fernandes 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 Nicole Fernandes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Fernandes reassigns Medicare benefits to 2 organizations: One Medical Group, Inc. (San Francisco, CA) and Santa Rosa Community Health Centers (Santa Rosa, CA). 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 Nicole Fernandes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Fernandes was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.