Sandra Fernandez

Individual provider Active NPI Medical Physician Assistant · New Oxford, PA

NPI 1144628355 · NPPES record last updated Sep 23, 2016

Key facts

NPI
1144628355
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
MA057343 (PA)
Practice address
5615 York Rd
New Oxford, PA 17350-9553
Phone
(717) 624-1337
NPI assigned
Dec 22, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 26

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.

View all 26

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Urgent Care Group PC (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 100 (group)
Quality
70.23
Promoting interoperability
100
Improvement activities
40
Cost
77.22

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150326001723 PA Practitioner - Physician Assistant 4082931233 Reassigns benefits to 7 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA057343PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital - Anderson Campus Current
since Sep 2, 2019
Accepting new patients
St. Luke'S Hospital Monroe Campus Current
since Sep 2, 2019
Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. Current
since Sep 2, 2019
Accepting new patients
St. Luke'S Physician Group, Inc. Current
since Dec 18, 2017
Accepting new patients
St. Luke'S Hospital Bethlehem Current
since Sep 2, 2019
Accepting new patients
St Luke'S Hospital Current
since Sep 2, 2019
Accepting new patients
St. Luke'S Quakertown Hospital Current
since Sep 2, 2019
Accepting new patients
St. Luke'S Quakertown Hospital Current
since Sep 2, 2019
Accepting new patients
St. Luke'S Hosptial Current
since Sep 2, 2019
Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. Current
since Sep 2, 2019
Accepting new patients
St Luke'S Physician Group Inc Current
since Dec 18, 2017
Accepting new patients
On Demand Urgent Care Group PC Past
since Dec 9, 2019
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
On Demand Urgent Care Group, PC Past
since Oct 6, 2019
Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
On Demand Urgent Care Group, PC Past
since Nov 16, 2021
Accepting new patients
On Demand Urgent Care Group, PC Past
since Oct 6, 2019
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

Specialties & licenses

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

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

Other providers in New Oxford, PA

All providers in New Oxford, PA · Medical Physician Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.