JOANNA R FERNANDEZ (APRN) – Family Nurse Practitioner, NPI 1053675033

JOANNA R FERNANDEZ (APRN) is a healthcare provider. based in Bridgeport, Connecticut. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 004898 (CT). The NPI Number for JOANNA R FERNANDEZ (APRN) is 1053675033

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA R FERNANDEZ (APRN)
NPI
1053675033
Phone
(203) 696-3260
Address
982 E MAIN ST
Enumeration Date
25 June 2012
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035763885
Graduation Year
2010 (16 years ago)
PAC ID
0840444584
Group Practice PAC ID
9335051580
Professional Enrollment ID
I20130206000201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for JOANNA R FERNANDEZ (APRN)

  • 982 E MAIN ST

    BRIDGEPORT, CT 066081913

    Phone: (203) 696-3260

    Fax: (203) 332-0376

    Type: Mailing

  • 500 PALISADE AVE

    BRIDGEPORT, CT 066103458

    Phone: (203) 579-6234

    Fax: (203) 332-0376

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130206000201INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335051580View full group profile
NameSpecialtyState
-CT
-CT
O B S T E T R I C S/ G Y N E C O L O G YCT
-CT
Nurse PractitionerMD
O B S T E T R I C S/ G Y N E C O L O G YNY
Internal MedicineCT
Physician AssistantCT
Family PracticeMI
Certified Nurse Midwife (Cnm)CT

Reviews

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Frequently asked questions

Does JOANNA R FERNANDEZ (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOANNA R FERNANDEZ (APRN) uses 1053675033.
Is JOANNA R FERNANDEZ (APRN) listed as active for patients and plans?
The listing shows JOANNA R FERNANDEZ (APRN) as active in the NPI system.
What is JOANNA R FERNANDEZ (APRN) best known for clinically?
Directory data describes JOANNA R FERNANDEZ (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does JOANNA R FERNANDEZ (APRN) serve?
JOANNA R FERNANDEZ (APRN)'s listing highlights Bridgeport, Connecticut; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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