Mindy Fernando

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

47044322761 Issued in MI

Practice address

1266 Walton Blvd
Rochester Hills, MI 48307-6900

Phone

(248) 710-2900

NPI assigned

Jul 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Professionals of Michigan PCGroup PAC ID 3274767371, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emergency Professionals of Michigan, P.C.

  • Emergency Medicine Physician
  • Dearborn, MI
  • NPI 1952740656

  MI

  Medicare reassignment Care Compare group NPD
• Lifetime Urgent Care PLLC

  • Multi-Specialty Clinic/Center
  • Flint, MI
  • NPI 1467983817

  MI

  Medicare reassignment NPD
• Pro Health Medical Inc

  • Urgent Care Clinic/Center
  • Rochester Hills, MI
  • NPI 1649781733

  MI

  Medicare reassignment NPD
• Pro-Health Medical FP

  • Primary Care Clinic/Center
  • Lake Orion, MI
  • NPI 1740841451
  NPD (past)
• Pro-Health Medical, P.C.

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1104124841
  NPD (past)

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1720817992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27256 APPLE TREE LN",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "48025",
            "telephone_number": "248-914-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076900",
            "telephone_number": "248-710-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 S Baldwin Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483592358",
            "country_code": "US",
            "telephone_number": "248-301-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDO",
        "first_name": "MINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704322761",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "47044322761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Ceverena Faught
• FD Farah Mi PLLC
• Jessica Fealk
• Brooke Fecteau, MA, LLC, CTP
• Florante Fermil, M.D.
• Kathleen B Figurski, RN, CNM
• Kaylie Filzek, MA, LLPC
• Robert S Fink, PH.D.
• Tori Fiore
• Mark Jay Fireman, M.D.

• All providers in Rochester Hills, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.