Individual provider Active NPI

Kristen L Fernandez, M.D.

  • Surgery Physician
  • Baltimore, MD
National Provider Identifier
1760451603
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0057485 Issued in MD
Practice address
9103 Franklin Square Dr
Suite 1500
Baltimore, MD 21237-3900
Phone
(443) 777-6500
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0057485 MD Primary

Addresses

Primary practice location

9103 Franklin Square Dr
Suite 1500
Baltimore, MD 21237-3900

Mailing address

9103 Franklin Square Dr
Suite 1500
Baltimore, MD 21237-3900
Phone (443) 777-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000922 MD Practitioner - General Surgery 6103010608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

3449 Wilkens Ave
Baltimore, MD 21229-5217

6740 Alexander Bell Dr
Columbia, MD 21046-2248

6740 Alexander Bell Dr
Columbia, MD 21046-2249

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy54
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0057485MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Sep 28, 2020 Accepting new patients
St Agnes Healthcare Inc Surgery CurrentSince Sep 28, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Anne Arundel Medical Center Pharmacy Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3449 Wilkens Ave
Ste 102
Baltimore, MD 21229
Phone (667) 234-8675

3449 Wilkens Ave
Ste 101
Baltimore, MD 21229
Phone 41029685852

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

6740 Alexander Bell Dr
Ste 103
Columbia, MD 21046
Phone (667) 234-3434

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 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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760451603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 FRANKLIN SQUARE DR",
            "address_2": "SUITE 1500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373900",
            "telephone_number": "443-777-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 FRANKLIN SQUARE DR",
            "address_2": "SUITE 1500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373900",
            "telephone_number": "443-777-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0057485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.