Individual provider Active NPI

Sandra Fernandez

  • Medical Physician Assistant
  • New Oxford, PA
National Provider Identifier
1144628355
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057343 Issued in PA
Practice address
5615 York Rd
New Oxford, PA 17350-9553
Phone
(717) 624-1337
NPI assigned
Dec 22, 2014
Last updated
Sep 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057343 PA Primary

Addresses

Primary practice location

5615 York Rd
New Oxford, PA 17350-9553

Mailing address

555 Village Cir
Blue Bell, PA 19422-1636
Phone (215) 628-0753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150326001723 PA Practitioner - Physician Assistant 4082931233 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

1305 W Chester Pike
Havertown, PA 19083-2929
Phone (610) 482-4949

3356 Aramingo Ave
Philadelphia, PA 19134-4506
Phone (215) 999-3356

3626 St Rd
Bensalem, PA 19020-1507
Phone (267) 763-3626

4190 City Ave
Suite 101
Philadelphia, PA 19131-1627
Phone (215) 857-5300

599 E Lancaster Ave
St Davids, PA 19087-5109
Phone (484) 254-4984

6060 Ridge Ave
Suite 100
Philadelphia, PA 19128-1659
Phone (215) 999-6060

920 Dekalb Pike
Suite 100
Blue Bell, PA 19422-1810
Phone (267) 289-1770

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
70.23
Promoting interoperability
100
Improvement activities
40
Cost
77.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital - Anderson Campus CurrentSince Sep 2, 2019 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Sep 2, 2019 Accepting new patients
St Luke's Hospital CurrentSince Sep 2, 2019 Accepting new patients
St. Luke's Hosptial CurrentSince Sep 2, 2019 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Sep 2, 2019 Accepting new patients
St. Luke's Quakertown Hospital CurrentSince Sep 2, 2019 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Dec 18, 2017 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Sep 2, 2019 Accepting new patients
St Luke's Physician Group Inc CurrentSince Dec 18, 2017 Accepting new patients
St. Luke's Hospital Bethlehem CurrentSince Sep 2, 2019 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
On Demand Urgent Care Group, PC PastSince Oct 6, 2019 Accepting new patients
On Demand Urgent Care Group PC PastSince Dec 9, 2019 Accepting new patients
On Demand Urgent Care Group, PC PastSince Oct 6, 2019 Accepting new patients
On Demand Urgent Care Group, PC PastSince Nov 16, 2021 Accepting new patients
Continuing Care Medical Associates PLLC Past Accepting new patients
On Demand Urgent Care Group, PC Past Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
On Demand Urgent Care Group, PC Past Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: sandra.fernandez.1@14965.direct.athenahealth.com

Organizations & group practices 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1144628355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 VILLAGE CIR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221636",
            "telephone_number": "215-628-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 YORK RD",
            "city": "NEW OXFORD",
            "state": "PA",
            "postal_code": "173509553",
            "telephone_number": "717-624-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Oxford, PA

Sources for this page

Verify at the official NPI Registry.