Individual provider Active NPI

Jennifer Fernandez, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1639851975
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11027796 Issued in FL
Practice address
601 N Flamingo Rd Ste 401
Pembroke Pines, FL 33028-1011
Phone
(305) 682-2580
Fax
(305) 705-1677
NPI assigned
Aug 4, 2023
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 11027796 FL Primary

Addresses

Primary practice location

601 N Flamingo Rd Ste 401
Pembroke Pines, FL 33028-1011

Mailing address

2900 Corporate Way
Miramar, FL 33025-3925
Phone (954) 276-5685

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
I20240604000020 FL Practitioner - Nurse Practitioner 3476995044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

601 N Flamingo Rd
Suite 401
Pembroke Pines, FL 33028-1011
Phone (305) 682-2580

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027796FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Feb 1, 2025 Accepting new patients
South Broward Hospital District CurrentSince Feb 1, 2025 Accepting new patients
Luis H. Lugo-Arrendell , MD,PA CurrentSince Apr 2, 2024 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

20801 Biscayne Blvd
Ste 203
Aventura, FL 33180
Phone (305) 682-2580

1840 W 49th St
Ste 510
Hialeah, FL 33012
Phone (305) 821-4555

1150 N 35th Ave
Ste 670
Hollywood, FL 33021
Phone (954) 265-1700

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

17890 NW 2nd St
Pembroke Pines, FL 33029
Phone (954) 442-6090

601 N Flamingo Rd
Ste 401
Pembroke Pnes, FL 33028
Phone (305) 682-2580

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 4

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1639851975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 401",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281011",
            "telephone_number": "305-682-2580",
            "fax_number": "305-705-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JENNIFER",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.