MRS. DIVINA JAVIER FERNANDEZ NURSE PRACTITIONER
NPI 1750653929
Nurse Practitioner in Stockton, CA
About Mrs. Divina Javier Fernandez Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DIVINA JAVIER FERNANDEZ NURSE PRACTITIONER (NPI 1750653929) is an individual nurse practitioner in Stockton, California, licensed in California (NP19792) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
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
Mrs. Divina Javier Fernandez Nurse Practitioner 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.
Medicare Billing Reassignments
3Medicare enrollment records show Divina Fernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockton, CA 95202
- Reassigned Medicare billing, California enrollment
- 534 clinicians in this Medicare group
Lodi, CA 95240
- Reassigned Medicare billing, California enrollment
- 19 clinicians in this Medicare group
French Camp, CA 95231
- Reassigned Medicare billing, California enrollment
- 512 clinicians in this Medicare group
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 95210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKTON, CA 95210
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 Divina Fernandez's NPI number?
The NPI number for Divina Fernandez is 1750653929. It was assigned to this individual provider in the NPPES registry on February 3, 2012.
Where is Divina Fernandez located?
Divina Fernandez practices at 1801 E. March Lane Ste C320, Stockton, CA 95210. The listed phone number is (209) 957-5888.
What is Divina Fernandez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Divina Fernandez enrolled in Medicare?
Yes. Divina 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 Divina Fernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Divina Fernandez reassigns Medicare benefits to 3 organizations: County Of San Joaquin (Stockton, CA), P. Gill Obstetrics & Gynecology Medical Group, Inc. (Lodi, CA) and San Joaquin Faculty Medical Group (French Camp, 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 Divina Fernandez'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 Divina Fernandez was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Divina Javier Fernandez, NURSE PRACTITIONER · NPI 1750653929
Nurse Practitioner physician in Stockton, California. Individual provider, active in the CMS NPPES registry since February 3, 2012.
## Identity
- **NPI:** 1750653929 (Entity type: Individual)
- **Enumerated:** February 3, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** NP19792 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1801 E. MARCH LANE, STE C320, Stockton, CA 95210-6676
- **Phone:** (209) 957-5888 · **Fax:** (209) 477-9339
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): County Of San Joaquin (NPI 1891036612, Stockton, CA); P. Gill Obstetrics & Gynecology Medical Group, Inc. (NPI 1386636165, Lodi, CA); San Joaquin Faculty Medical Group (NPI 1225063761, French Camp, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 3, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1750653929) · Data from the CMS NPPES public registry.