Individual provider Active NPI

Kristen Marie Fernandez, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1043080856
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023125580 Issued in FL
Practice address
6855 Edgewater Dr Apt 1B
Coral Gables, FL 33133-7038
Phone
(305) 878-2676
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023125580 FL Primary

Addresses

Primary practice location

6855 Edgewater Dr Apt 1B
Coral Gables, FL 33133-7038

Mailing address

6855 Edgewater Dr Apt 1B
Coral Gables, FL 33133-7038
Phone (305) 878-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306004000 FL Practitioner - Nurse Practitioner 4082050596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Associates of South Florida PAGroup PAC ID 0749599793, 8 clinicians

Practice addresses (Care Compare)

4425 Ponce de Leon Blvd
Suite 200
Coral Gables, FL 33146-1871
Phone (305) 443-6606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023125580FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Associates of South Florida, P.a. CurrentSince Mar 4, 2024 Accepting new patients

Locations

4425 Ponce de Leon Blvd
Ste 200
Coral Gables, FL 33146
Phone (305) 443-6606

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1043080856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 EDGEWATER DR APT 1B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331337038",
            "telephone_number": "305-878-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 EDGEWATER DR APT 1B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331337038",
            "telephone_number": "305-878-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2023125580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.