Individual provider Active NPI

Michelle Fernandez, ARNP

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1205110442
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-75514-122 Issued in KS
Practice address
10116 W 105TH St
Overland Park, KS 66212
Phone
(913) 541-0510
Fax
(913) 599-0951
NPI assigned
Oct 6, 2011
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-75514-122 KS Primary
Nurse Practitioner 363L00000X 5021644 NC

Addresses

Primary practice location

10116 W 105TH St
Overland Park, KS 66212

Mailing address

10116 W 105TH St
Overland Park, KS 66212-5746
Phone (913) 541-0510

Other practice location 1

9015 W 90th Ter
Overland Park, KS 66212-3810
Phone (913) 579-3190

Other practice location 2

1520 Physicians Dr
Wilmington, NC 28401-7356
Phone (910) 662-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250331002146 NC Practitioner - Nurse Practitioner 5193992014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NHCS Physicians IncGroup PAC ID 7719209154, 97 clinicians

Practice addresses (Care Compare)

1520 Physicians Dr
Wilmington, NC 28401-7356
Phone (910) 662-8300

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-75514-122KSMDNurse Practitioner
5021644NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services LLC CurrentSince Jan 2, 2026 Accepting new patients
NHCS Physicians Inc CurrentSince Mar 4, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Jan 2, 2026 Accepting new patients

Locations

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1520 Physicians Dr
Wilmington, NC 28401
Phone (910) 662-8300

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1205110442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10116 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662125746",
            "telephone_number": "913-541-0510",
            "fax_number": "913-599-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66212",
            "telephone_number": "913-541-0510",
            "fax_number": "913-599-0951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9015 W 90th Ter",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662123810",
            "country_code": "US",
            "telephone_number": "913-579-3190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017356",
            "country_code": "US",
            "telephone_number": "910-662-8300",
            "fax_number": "910-777-5963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-75514-122",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5021644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.