Everlin E Fernandez, RN,BSN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Walden, NY
NPI 1942919170 · NPPES record last updated Aug 4, 2026
Key facts
- NPI
- 1942919170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 405170 (NY)
- Practice address
- 169 Madison Ave
Ste 15265
Walden, NY 12586-2270 - Phone
- (917) 625-5395
- NPI assigned
- Nov 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- House Call Medical Services of New York, PLLC
Sehwan Medical Care PLLC
Practice addresses (Care Compare)
1371 Seabury Ave
Bronx, NY 10461-3651
Phone (718) 618-0401
63 Walton St
Apt 602
Brooklyn, NY 11206-3236
Phone (347) 667-7924
955 Yonkers Ave
Suite 102
Yonkers, NY 10704-3062
Phone (347) 667-7924
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230827000089 | NY | Practitioner - Nurse Practitioner | 3072976869 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 763995 | NY | MD | Registered Nurse |
| 11027106 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 405170 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current |
Accepting new patients |
| Essen Medical Associates,PC | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current |
Accepting new patients | |
| Bronx Medical Practice P.C. | Current |
Accepting new patients | |
| Essen Medical Associates, PC | Current |
Accepting new patients | |
| Everlin Fernandez NP in Psyciatry PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405170 | NY | Yes |
| Registered Nurse | 163W00000X | 763995 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11027106 | FL |
Addresses
Primary practice location
169 Madison Ave
Ste 15265
Walden, NY 12586-2270
Mailing address
169 Madison Ave Ste 15265
New York, NY 10016-5101
Phone (917) 625-5395
Other providers in Walden, NY
- Edgard Quinones P.C.
- Arianna Camille Edwards
- Samantha Ellis
- Chasity Christine Eraso
- Michelle Espinosa
- Joy Figueroa
- Flanagan Chiropractic, P.C.
- Matthew Timothy Flanagan
- Ann Jean Furrey
- Linda Ann Gallagher
All providers in Walden, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.