Individual provider Active NPI

Olga Fernandez, AGPC-NP

  • Adult Health Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1831869338
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11015393 Issued in FL
Practice address
3401 Pga Blvd Ste 500
Palm Beach Gardens, FL 33410-2825
Phone
(561) 659-6543
Fax
(561) 659-3533
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11015393 FL
Primary Care Nurse Practitioner 363LP2300X APRN11015393 FL
Adult Health Nurse Practitioner 363LA2200X APRN11015393 FL Primary

Addresses

Primary practice location

3401 Pga Blvd Ste 500
Palm Beach Gardens, FL 33410-2825

Mailing address

3401 Pga Blvd Ste 500
Palm Beach Gardens, FL 33410-2825
Phone (561) 659-6543

Other practice location 1

1411 N Flagler Dr Ste 5600
West Palm Beach, FL 33401-3412
Phone (561) 659-6543

Other names 1

  • Ms. Olga Rejebova Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ofernandez208432@direct.tgh.org

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
I20210929003558 FL Practitioner - Nurse Practitioner 6305243502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa General Provider Network IncGroup PAC ID 6002217346, 30 clinicians

Practice addresses (Care Compare)

1411 N Flagler Dr
Suite 5600
West Palm Beach, FL 33401-3412
Phone (561) 659-6543

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11015393FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Provider Network Inc CurrentSince Jan 1, 2022 Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Provider Network Inc CurrentSince Jan 1, 2022 Accepting new patients
Tampa General Provider Network Inc Past Accepting new patients

Locations

3401 Pga Blvd
Ste 500
West Palm Bch, FL 33410
Phone (561) 659-6543

1201 N Olive Ave
West Palm Beach, FL 33401
Phone (561) 621-0012

2001 N Flagler Dr
West Palm Beach, FL 33407
Phone (561) 659-6543

1411 N Flagler Dr
Ste 5600
West Palm Beach, FL 33401
Phone (561) 659-6543

2001 N Flagler Dr
Apt A
West Palm Beach, FL 33407

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: ofernandez19776@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: ofernandez208432@direct.tgh.org

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 3

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1831869338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD STE 500",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102825",
            "telephone_number": "561-659-6543",
            "fax_number": "561-659-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD STE 500",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102825",
            "telephone_number": "561-659-6543",
            "fax_number": "561-659-3533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 N Flagler Dr Ste 5600",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013412",
            "country_code": "US",
            "telephone_number": "561-659-6543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "OLGA",
        "name_prefix": "Ms.",
        "credential": "AGPC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11015393",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11015393",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11015393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ofernandez208432@direct.tgh.org",
            "affiliation": "N",
            "address_1": "3401 Pga Blvd Ste 500",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334102825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "OLGA",
            "last_name": "REJEBOVA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.