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SHUJEN T FERNANDEZ ARNP-C, CCRN
NPI 1912304759
Nurse Practitioner - Psychiatric/Mental Health in Orlando, FL

Active since November 21, 2014PECOS EnrolledAccepts Medicare Assignment
10920 MOSS PARK RD STE 200, ORLANDO, FL 32832(407) 846-0533(407) 518-1730 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2021, Jan 11, 2018 (2 updates tracked since 2018).

About Shujen T Fernandez Arnp-c, Ccrn NPPES

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

SHUJEN T FERNANDEZ ARNP-C, CCRN (NPI 1912304759) is an individual psychiatric/mental health provider in Orlando, Florida, licensed in Florida (APRN9167756) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912304759
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHUJEN T FERNANDEZCredential: ARNP-C, CCRN
Location Address10920 MOSS PARK RD STE 200Orlando, FL 32832-6087
Mailing Address2316 Hillcrest StOrlando, FL 32803-4900 · (407) 228-2804 · Fax (407) 228-2806
Phone(407) 846-0533
Fax(407) 518-1730
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 21, 2014
Last NPPES UpdateOctober 19, 20212 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
✔ NPI 1912304759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN9167756
Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP9167756 (FL)
10920 MOSS PARK RD STE 200, Orlando, FL 32832
Open in Google Maps ↗

Secondary Practice Location 1

Location 12316 Hillcrest StOrlando, FL 32803-4900 · Phone (407) 228-2804 · Fax (407) 228-2806

Other Identifiers 4

OtherOB747FL · Ptan
Other2018014428FL · Ancc
OtherIA275XFL · Ptan No
OtherF0914948FL · American Academy Of Nurse Practitioners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Shujen T Fernandez Arnp-c, Ccrn 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 ID7911220629
PECOS Enrollment IDI20150106000179
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 Shujen Fernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nova Psychiatry Inc
13 mi
Psychiatry
1836 WOODWARD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1285075739 (407) 883-9303
Mindful Behavioral Healthcare, LLC
13 mi
Community/Behavioral Health
717 E OAK ST
Kissimmee, FL 34744
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
NPI 1477744548 (407) 846-0533
Vital Psych MD LLC
193 mi
Multi-Specialty
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1790418507 (610) 306-2618

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
229 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
160 services78 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32832 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%295 patients5/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
83%276 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

MINDFUL BEHAVIORAL HEALTHCARE, LLC
Psychiatry & Neurology (Psychiatry)
10920 MOSS PARK RD STE 200
ORLANDO, FL 32832
Orange County (407) 846-0533
EMILY ANNE AKOS MA, NCC
Counselor (Mental Health)
10920 MOSS PARK RD STE 200
ORLANDO, FL 32832
Orange County (407) 846-0533
MINDFUL BEHAVIORAL HEALTHCARE, LLC
Community/Behavioral Health
10920 MOSS PARK RD STE 200
ORLANDO, FL 32832
Orange County (407) 846-0533

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 Shujen Fernandez's NPI number?

The NPI number for Shujen Fernandez is 1912304759. It was assigned to this individual provider in the NPPES registry on November 21, 2014.

Where is Shujen Fernandez located?

Shujen Fernandez practices at 10920 Moss Park Rd Ste 200, Orlando, FL 32832. The listed phone number is (407) 846-0533.

What is Shujen Fernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shujen Fernandez enrolled in Medicare?

Yes. Shujen 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 Shujen Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shujen Fernandez reassigns Medicare benefits to 3 organizations: Nova Psychiatry Inc (Orlando, FL), Mindful Behavioral Healthcare, LLC (Kissimmee, FL) and Vital Psych MD LLC (Miami, 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 Shujen Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shujen Fernandez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Shujen 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 Shujen Fernandez was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.