KILEEN JERRICHA FERNANDEZ
NPI 1891397170
Nurse Practitioner - Pediatrics in Springboro, OH

Q: What is Kileen Fernandez's NPI number?

The NPI number for Kileen Fernandez is 1891397170. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Q: What is Kileen Fernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kileen Fernandez was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 12, 2020PECOS Enrolled

662 N MAIN ST, SPRINGBORO, OH 45066(937) 641-5066(937) 550-9797 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2026, Oct 13, 2023, Jul 28, 2023 and 2 more (5 updates tracked since 2020).

On this page

About Kileen Jerricha Fernandez NPPES

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

KILEEN JERRICHA FERNANDEZ (NPI 1891397170) is an individual pediatrics provider in Springboro, Ohio, licensed in Ohio (APRN.CNP.0026964) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1891397170

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKILEEN JERRICHA FERNANDEZ

Location Address662 N MAIN STSpringboro, OH 45066-9553

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000

Phone(937) 641-5066

Fax(937) 550-9797

Sole ProprietorNo

Enumeration DateNovember 12, 2020

Last NPPES UpdateMay 28, 20265 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1891397170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in OH · APRN.CNP.0026964

662 N MAIN ST, Springboro, OH 45066

Open in Google Maps ↗

Secondary Practice Locations 9

Location 16044 Wilmington PikeDayton, OH 45459-7006 · Phone (937) 641-3270 · Fax (937) 641-6108

Location 23333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-5725 · Fax (937) 350-3050

Location 31 Childrens PlzDayton, OH 45404-1873 · Phone (937) 641-4000 · Fax (937) 641-4500

Location 43301 Dayton Xenia Rd Ste 200Beavercreek, OH 45432-2759 · Phone (937) 641-5098 · Fax (937) 912-9395

Location 51711 Germantown PikeDayton, OH 45417 · Phone (937) 641-3142 · Fax (937) 641-4172

Location 67787 Cox LnWest Chester, OH 45069-6549 · Phone (513) 644-8081 · Fax (513) 847-1192

Location 78501 Old Troy PikeHuber Heights, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 949-3791

Location 8792 Northwoods BlvdVandalia, OH 45377-9462 · Phone (937) 641-4236 · Fax (937) 641-4237

Location 94475 Far Hills AveKettering, OH 45429-2405 · Phone (937) 641-3141 · Fax (937) 641-3190

Other Identifiers 1

Medicaid0447741OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kileen Jerricha Fernandez 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

Medicare enrollment records show Kileen Fernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dayton Children's Hospital

2.8 mi

Urgent Care

3333 W TECH RD
Miamisburg, OH 45342

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Dayton Childrens Hospital
165 clinicians in this Medicare group

NPI 1730392309 (937) 641-5725

Dayton Children's Specialty Physicians, Inc.

16 mi

Pediatrics

1 CHILDRENS PLZ
Dayton, OH 45404

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Dayton Childrens Specialty Physicians Inc
479 clinicians in this Medicare group

NPI 1225192610 (937) 641-4000

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 45066 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 13

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

PAULA A EICHMANN PNP

Nurse Practitioner (Pediatrics)