Ubaldo Victor Fernandez Mesa

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11018913 Issued in FL

Practice address

2336 Cleveland Ave Ste C
Fort Myers, FL 33901-3540

Phone

(239) 245-7171

Fax

(239) 245-7175

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SW Florida Regional Medical Center IncGroup PAC ID 3375767171, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9289/brand/1/csg/1/fhir/r4
• Direct secure messaging: ubaldo.fernandez.mesa.aprn.1@9289.direct.athenahealth.com

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.

• SW Florida Regional Medical Center Inc

  • Physical Therapy Clinic/Center
  • Naples, FL
  • NPI 1174800924
  Medicare reassignment Care Compare group NPD
• Joyful Medical Center, Corp

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1124609649
  NPD
• VKJ Associates Corp

  • Clinic/Center
  • Naples, FL
  • NPI 1447959028
  NPD

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1376287839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26153 PRINCESS LN",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356534",
            "telephone_number": "786-296-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 CLEVELAND AVE STE C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013540",
            "telephone_number": "239-245-7171",
            "fax_number": "239-245-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ MESA",
        "first_name": "UBALDO",
        "middle_name": "VICTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristiane Fernandes
• Yisell Fernandez Alvarez
• Melany Beatriz Fernandez Ayala
• Geibel Yoel Fernandez Hernandez
• Ramses Fernandez Melo, MD
• Ignacio Fernandez-Mejia
• Veronique Fernandez-Salvador, MD
• Carmen Maria Fernandez, D.O
• Joceline Fernandez, PMHNP-BC
• Juan Carlos Fernandez, MD

• Family Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.