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EDMUND J FERNANDEZ MD
NPI 1669587739
Family Medicine in Slinger, WI

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
1061 E COMMERCE BLVD, SLINGER, WI 53086(262) 644-2900(262) 644-2980 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edmund J Fernandez Md NPPES

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

EDMUND J FERNANDEZ MD (NPI 1669587739) is an individual family medicine provider in Slinger, Wisconsin, licensed in Wisconsin (42228) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1669587739
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDMUND J FERNANDEZCredential: MD
Location Address1061 E COMMERCE BLVDSlinger, WI 53086
Mailing Address3003 W Good Hope RdMilwaukee, WI 53209-2042 · (414) 352-3100
Phone(262) 644-2900
Fax(262) 644-2980
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 20, 2006
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1669587739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 42228
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1061 E COMMERCE BLVD, Slinger, WI 53086
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Other Identifiers 1

OtherP00941442WI · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Edmund J Fernandez Md 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 ID2769458132
PECOS Enrollment IDI20040907001298
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

3

Medicare enrollment records show Edmund Fernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Advanced Healthcare, Inc.
20 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100
Aurora Medical Group, Inc.
25 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650
Lakeshore Medical Clinic, LLC
32 mi
Family Medicine
2000 E LAYTON AVE STE 100
Saint Francis, WI 53235
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1003861188 (414) 744-6589

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
209 services79 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
120 services32 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
58 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53086 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers38 claims88 services$6.15 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims13 services$1.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

COMPREHENSIVE CARDIOVASCULAR CARE, LLP
Internal Medicine (Cardiovascular Disease)
1061 E COMMERCE BLVD
SLINGER, WI 53086
Washington County (262) 644-2900
FATIMA AZIZ
Obstetrics & Gynecology
1061 E COMMERCE BLVD
SLINGER, WI 53086
Washington County (262) 644-2900
ANDREW JAMES VELIC MD
Pediatrics
1061 E COMMERCE BLVD
SLINGER, WI 53086
Washington County (262) 644-2900
NANCY JEAN WITT
Pharmacist
1061 E COMMERCE BLVD
SLINGER, WI 53086
Washington County (262) 644-5246
RACHEL J ROESLER NP-C
Nurse Practitioner
1061 E COMMERCE BLVD
SLINGER, WI 53086
Washington County (262) 644-2900
ERIC FRANK WEBER MD
Internal Medicine
1061 E COMMERCE BLVD
SLINGER, WI 53086
Washington County (262) 644-2900
AURORA MEDICAL GROUP, INC.
Durable Medical Equipment & Medical Supplies
1061 E COMMERCE BLVD
SLINGER, WI 53086
Washington County (262) 644-2900
DR. LISA CLAIRE MCCOACH PHARMD
Pharmacist
1061 E COMMERCE BLVD
SLINGER, WI 53086
Washington County (262) 644-5246

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 Edmund Fernandez's NPI number?

The NPI number for Edmund Fernandez is 1669587739. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Edmund Fernandez located?

Edmund Fernandez practices at 1061 E Commerce Blvd, Slinger, WI 53086. The listed phone number is (262) 644-2900.

What is Edmund Fernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edmund Fernandez enrolled in Medicare?

Yes. Edmund 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 Edmund Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmund Fernandez reassigns Medicare benefits to 3 organizations: Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Aurora Medical Group, Inc. (West Allis, WI) and Lakeshore Medical Clinic, LLC (Saint Francis, WI). 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 Edmund Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edmund Fernandez accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Edmund 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.

Is Edmund Fernandez affiliated with any hospitals?

According to CMS data, Edmund Fernandez is affiliated with Aurora Medical Ctr Washington County and Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Edmund Fernandez was last updated on December 1, 2021. 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.