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MINDY FERNANDO
NPI 1720817992
Nurse Practitioner - Family in Rochester Hills, MI

Active since July 29, 2024PECOS EnrolledAccepts Medicare Assignment
1266 WALTON BLVD, ROCHESTER HILLS, MI 48307(248) 710-2900 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2024, Jul 29, 2024 (2 updates tracked since 2024).

About Mindy Fernando NPPES

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

MINDY FERNANDO (NPI 1720817992) is an individual family provider in Rochester Hills, Michigan, licensed in Michigan (47044322761) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Orion, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720817992
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMINDY FERNANDO
Location Address1266 WALTON BLVDRochester Hills, MI 48307-6900
Mailing Address27256 Apple Tree LnFranklin, MI 48025 · (248) 914-8901
Phone(248) 710-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 29, 2024
Last NPPES UpdateOctober 23, 20252 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1720817992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 47044322761
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704322761 (MI)
1266 WALTON BLVD, Rochester Hills, MI 48307
Open in Google Maps ↗

Secondary Practice Location 1

Location 13003 S Baldwin Rd Ste BLake Orion, MI 48359-2358 · Phone (248) 301-1090

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

Mindy Fernando 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 ID6305371394
PECOS Enrollment IDI20241127003222
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 Mindy Fernando reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pro Health Medical Inc
Same address
Urgent Care
1266 WALTON BLVD
Rochester Hills, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 14 clinicians in this Medicare group
NPI 1649781733 (248) 710-2900
Lifetime Urgent Care PLLC
34 mi
Multi-Specialty
2469 W HILL RD
Flint, MI 48507
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
NPI 1467983817 (810) 407-6039
Emergency Professionals Of Michigan PC
  • Reassigned Medicare billing, Michigan enrollment
  • 163 clinicians in this Medicare group
No phone listed

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 48307 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 7

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

MR. KRISTOPHER DOMBROWSKI N.P.
Nurse Practitioner (Family)
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Oakland County (248) 710-2900
JANICE M. DEMARAY D.O.
Emergency Medicine
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Oakland County (248) 710-2900
STEPHANIE MARTHA THOMAS
Physician Assistant
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Oakland County (810) 230-0338
BONNIE LYNN DISHROON FNP
Nurse Practitioner (Family)
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Oakland County (248) 710-2900
PRO HEALTH MEDICAL INC
Clinic/Center (Urgent Care)
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Oakland County (248) 710-2900
MRS. EMALEE JANE PROHASKA FNP
Nurse Practitioner (Family)
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Oakland County (248) 710-2900
TYLER EDMUND RYMAN PA
Physician Assistant
1266 WALTON BLVD
ROCHESTER HILLS, MI 48307
Oakland County (248) 710-2900

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 Mindy Fernando's NPI number?

The NPI number for Mindy Fernando is 1720817992. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Mindy Fernando located?

Mindy Fernando practices at 1266 Walton Blvd, Rochester Hills, MI 48307. The listed phone number is (248) 710-2900.

What is Mindy Fernando's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mindy Fernando enrolled in Medicare?

Yes. Mindy Fernando 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 Mindy Fernando's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mindy Fernando reassigns Medicare benefits to 3 organizations: Pro Health Medical Inc (Rochester Hills, MI), Lifetime Urgent Care PLLC (Flint, MI) and Emergency Professionals Of Michigan PC (MI). 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 Mindy Fernando'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 Mindy Fernando was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.