Individual provider Active NPI

Ingrid Fernandez, ARNP-FNP-C

  • Nurse Practitioner
  • Bartow, FL
National Provider Identifier
1417493081
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9264146 Issued in FL
Practice address
2200 Osprey Blvd
Bartow, FL 33830-3308
Phone
(863) 533-8111
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9264146 FL Primary

Addresses

Primary practice location

2200 Osprey Blvd
Bartow, FL 33830-3308

Mailing address

563 Sanctuary Blvd
Winter Haven, FL 33881-9514
Phone (407) 780-5550

Other practice location 1

4100 Spirit Lake Rd Ste 2
Winter Haven, FL 33880-5081
Phone (863) 331-4991

Other practice location 2

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551

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
I20210728000799 FL Practitioner - Nurse Practitioner 8325311186 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polk Emergency Group LLCGroup PAC ID 0547241598, 19 clinicians
Lake Wales Emergency Physicians, LLCGroup PAC ID 8022270461, 36 clinicians
Ridgewood Emergency Group, LLCGroup PAC ID 6305199597, 43 clinicians

Practice addresses (Care Compare)

2200 Osprey Blvd
Bartow, FL 33830-3308
Phone (863) 533-8111

410 S 11TH St
Lake Wales, FL 33853-4203
Phone (863) 676-1433

6945 Cypress Gardens Blvd
Winter Haven, FL 33884-3572
Phone (863) 422-4971

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Quality
88.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9264146FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Ridgewood Emergency Group, LLC Nurse Practitioner CurrentSince Dec 15, 2025 Accepting new patients
Ridgewood Emergency Group, LLC Nurse Practitioner CurrentSince Dec 15, 2025 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Dec 25, 2021 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Lake Wales Emergency Physicians, LLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
FL-I Medical Services, PA Nurse Practitioner CurrentSince Dec 25, 2021 Accepting new patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Polk Emergency Group LLC Nurse Practitioner CurrentSince Jan 4, 2022 Accepting new patients

Locations

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888

5234 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 496-2744

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

6945 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (863) 419-2496

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1417493081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 SANCTUARY BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338819514",
            "telephone_number": "407-780-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OSPREY BLVD",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303308",
            "telephone_number": "863-533-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Spirit Lake Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338805081",
            "country_code": "US",
            "telephone_number": "863-331-4991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Oakfield Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115779",
            "country_code": "US",
            "telephone_number": "813-681-5551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "INGRID",
        "credential": "ARNP-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9264146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

Verify at the official NPI Registry.