DENISSE FERNANDEZ- GOYTIZOLO
NPI 1861897340
Pediatrics - Pediatric Emergency Medicine in Jacksonville, FL

Active since October 27, 2014PECOS Enrolled
841 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207(904) 396-5682 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Denisse Fernandez- Goytizolo NPPES

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

DENISSE FERNANDEZ- GOYTIZOLO (NPI 1861897340) is an individual pediatric emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME137214) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1861897340
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDENISSE FERNANDEZ- GOYTIZOLO
Location Address841 PRUDENTIAL DR STE 1400Jacksonville, FL 32207-8364
Mailing Address655 W 8th StJacksonville, FL 32209-6511 · (904) 244-4046
Sole ProprietorYes
Enumeration DateOctober 27, 2014
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1861897340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in FL · ME137214
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
841 PRUDENTIAL DR STE 1400, Jacksonville, FL 32207

Secondary Practice Location 1

Location 1234 E 149th StBronx, NY 10451-5504 · Phone (718) 579-5030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denisse Fernandez- Goytizolo 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.

Medicare Billing Reassignments

3

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

Emergency Medicine
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 428 clinicians in this Medicare group
Internal Medicine
653 W 8TH ST, UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 573 clinicians in this Medicare group
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 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.

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.

Physician Assistant
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Emergency Medicine
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Physician Assistant
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Family Medicine
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Emergency Medicine
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Emergency Medicine
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Physician Assistant
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Emergency Medicine
841 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207

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 Denisse Fernandez- Goytizolo's NPI number?

The NPI number for Denisse Fernandez- Goytizolo is 1861897340. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Where is Denisse Fernandez- Goytizolo located?

Denisse Fernandez- Goytizolo practices at 841 Prudential Dr Ste 1400, Jacksonville, FL 32207. The listed phone number is (904) 396-5682.

What is Denisse Fernandez- Goytizolo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Denisse Fernandez- Goytizolo enrolled in Medicare?

Yes. Denisse Fernandez- Goytizolo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Denisse Fernandez- Goytizolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denisse Fernandez- Goytizolo reassigns Medicare benefits to 3 organizations: Emergency Physicians Inc (Jacksonville, FL), University Of Florida Jacksonville Physicians, Inc. (Jacksonville, FL) and Paragon Emergency Services LLC (Winter Haven, FL). 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 Denisse Fernandez- Goytizolo'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 Denisse Fernandez- Goytizolo was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.