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MARISA KELLY ROSE FERNANDEZ
NPI 1871293944
Counselor - Mental Health in Bellingham, WA

Active since March 07, 2023PECOS EnrolledAccepts Medicare Assignment
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225(360) 676-6177(360) 671-3574 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2024, Jun 26, 2024, Mar 7, 2023 (3 updates tracked since 2023).

About Marisa Kelly Rose Fernandez NPPES

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

MARISA KELLY ROSE FERNANDEZ (NPI 1871293944) is an individual mental health provider in Bellingham, Washington, licensed in Washington (MC61588298) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871293944
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISA KELLY ROSE FERNANDEZ
Location Address1616 CORNWALL AVE STE 205Bellingham, WA 98225-4642
Mailing Address2215 Wildflower WayBellingham, WA 98229-5364 · (831) 241-8792
Phone(360) 676-6177
Fax(360) 671-3574
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 7, 2023
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1871293944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MC61588298
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1616 CORNWALL AVE STE 205, Bellingham, WA 98225
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Marisa Kelly Rose Fernandez 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 ID1456827377
PECOS Enrollment IDI20260417003064
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 Reassignment

Medicare enrollment records show Marisa Fernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unity Care Northwest
Same address
Federally Qualified Health Center (FQHC)
1616 CORNWALL AVE
Bellingham, WA 98225
  • Reassigned Medicare billing, Washington enrollment
  • 35 clinicians in this Medicare group
NPI 1417202029 (360) 676-6177

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.

COURTNEY ROBINSON SCHICK DMD
Dentist (General Practice)
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Whatcom County (360) 676-6177
REBECCA JO BOSH RDH, MSDH
Dental Hygienist
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Whatcom County (360) 676-6177
MELISSA ERIN FORSYTHE
Counselor (Addiction (Substance Use Disorder))
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Whatcom County (360) 676-6177
TESSA L DAVIS
Counselor (Mental Health)
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Whatcom County (360) 676-6177
PARAMJIT GILL DMD
Dentist
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Whatcom County (360) 676-6177
EDEN CHRISTINE WOLLMAN
Dental Hygienist
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Whatcom County (360) 676-6177
MS. AMANDA H. WEIS LICSW, CMHS
Counselor
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Whatcom County (360) 676-6177
CECILIA M VAZQUEZ
Dental Hygienist
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Whatcom County (360) 676-6177

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 Marisa Fernandez's NPI number?

The NPI number for Marisa Fernandez is 1871293944. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Marisa Fernandez located?

Marisa Fernandez practices at 1616 Cornwall Ave Ste 205, Bellingham, WA 98225. The listed phone number is (360) 676-6177.

What is Marisa Fernandez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Marisa Fernandez enrolled in Medicare?

Yes. Marisa 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 organization bills Medicare for Marisa Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Fernandez reassigns Medicare benefits to Unity Care Northwest (Bellingham, WA). The 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 Marisa Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisa Fernandez accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Marisa 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.

When was this NPI record last updated?

The NPPES record for Marisa Fernandez was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.