JOHN EDWARD FERNAN MD
NPI 1780435248
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 01, 2024PECOS Enrolled
1215 LEE ST # 800499, CHARLOTTESVILLE, VA 22908(434) 924-5348(434) 924-8335 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 26, 2026, Apr 1, 2024 (2 updates tracked since 2024).

About John Edward Fernan Md NPPES

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

JOHN EDWARD FERNAN MD (NPI 1780435248) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780435248
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN EDWARD FERNANCredential: MD
Location Address1215 LEE ST # 800499Charlottesville, VA 22908-0816
Mailing Address1215 Lee St # 800499Charlottesville, VA 22908-0816 · (434) 924-5348 · Fax (434) 924-8335
Fax(434) 924-8335
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
NPI 1780435248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1215 LEE ST # 800499, Charlottesville, VA 22908

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Edward Fernan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

Student in an Organized Health Care Education/Training Program
1215 LEE ST # 800499
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST # 800499
CHARLOTTESVILLE, VA 22908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780435248, enumerated as an "individual" on April 01, 2024.

The provider is located at 1215 LEE ST # 800499 CHARLOTTESVILLE, VA 22908 and the phone number is (434) 924-5348.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.