Individual provider Active NPI

Raysa Fernandez Fernandez, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1548743115
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9420758 Issued in FL
Practice address
3651 NW 14TH Ter
Miami, FL 33125-1711
Phone
(786) 325-6061
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9420758 FL Primary

Addresses

Primary practice location

3651 NW 14TH Ter
Miami, FL 33125-1711

Mailing address

3651 NW 14TH Ter
Miami, FL 33125-1711
Phone (786) 325-6061

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9420758OtherFLFAMILY NURSE PRACTITIONER

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
I20190626000939 FL Practitioner - Nurse Practitioner 2860726700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Pulmonary and Critical Care Associates PAGroup PAC ID 6901993054, 7 clinicians

Practice addresses (Care Compare)

1840 W 49TH St
Suite 425
Hialeah, FL 33012-2978
Phone (305) 567-1999

3181 Coral Way
Coral Gables, FL 33145-3216
Phone (305) 567-1999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9420758FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Encanto Medical Centers, Inc CurrentSince Jan 4, 2021 Accepting new patients
Gables Medical Center Inc PastSince Jan 4, 2021 Accepting new patients

Locations

255 University Dr
Coral Gables, FL 33134
Phone (305) 362-2686

3181 Coral Way
Ste 302
Miami, FL 33145
Phone (305) 362-2686

Interoperability endpoints

  • Direct secure messaging: raysa.fernandez.p1@direct.caremax.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1548743115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 NW 14TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251711",
            "telephone_number": "786-325-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 NW 14TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251711",
            "telephone_number": "786-325-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ FERNANDEZ",
        "first_name": "RAYSA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9420758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "ARNP9420758",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.