BENJAMIN COREY FERNANDEZ (C-AA, DPT) – Anesthesiologist Assistant, NPI 1356697577

BENJAMIN COREY FERNANDEZ (C-AA, DPT) is a healthcare provider. based in Gainesville, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials C-AA, DPT. They hold a License No. PT27491 (FL). The NPI Number for BENJAMIN COREY FERNANDEZ (C-AA, DPT) is 1356697577

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN COREY FERNANDEZ (C-AA, DPT)
NPI
1356697577
Phone
(352) 273-8610
Address
PO BOX 100254
Enumeration Date
25 July 2012
Last Update Date
20 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8506507606103
Graduation Year
2018 (8 years ago)
PAC ID
8022266006
Group Practice PAC ID
9830158500
Professional Enrollment ID
I20181031002848
Address ID
FL325412909DE1225XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for BENJAMIN COREY FERNANDEZ (C-AA, DPT)

  • PO BOX 100254

    GAINESVILLE, FL 326100254

    Phone: (352) 273-8610

    Type: Mailing

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326100254

    Phone: (352) 273-8610

    Type: Location

  • 4113 NW 6th St Ste C

    Gainesville, FL 326090731

    Phone: (352) 376-6300

    Fax: (352) 372-0661

    Type: Location

  • 1600 SW Archer Rd

    Gainesville, FL 326100254

    Phone: (352) 273-8610

    Type: Location

  • 1225 AIRPORT RD

    DESTIN, FL 325412909

    Phone: (850) 650-7606

    Fax: (850) 337-1698

    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: 2018-10-31

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
I20181031002848IAnesthesiology AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery202183$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2626$0
00811Anesthesia for other procedure on large bowel using an endoscope2524$0
01402Anesthesia for procedure for total knee joint replacement2424$0
00812Anesthesia for exam of colon using an endoscope2323$0
View full utilization report →

Insurance plans in this area (ZIP 32610)

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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: 9830158500View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)GA
-FL
Certified Registered Nurse Anesthetist (Crna)FL
Anesthesiology AssistantFL
Certified Registered Nurse Anesthetist (Crna)LA
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What federal number belongs to BENJAMIN COREY FERNANDEZ (C-AA, DPT)?
The federal identifier for BENJAMIN COREY FERNANDEZ (C-AA, DPT) is NPI 1356697577.
Does this profile mean BENJAMIN COREY FERNANDEZ (C-AA, DPT) is currently active?
Yes — BENJAMIN COREY FERNANDEZ (C-AA, DPT) appears active in the national provider directory.
Does BENJAMIN COREY FERNANDEZ (C-AA, DPT) list a primary specialty?
If you are matching referrals, note Anesthesiologist Assistant for BENJAMIN COREY FERNANDEZ (C-AA, DPT). Clinical services aligned with this taxonomy classification.
Where does public data place BENJAMIN COREY FERNANDEZ (C-AA, DPT)?
The snapshot lists Gainesville, Florida for BENJAMIN COREY FERNANDEZ (C-AA, DPT); download NPPES for the complete set.
How can I contact BENJAMIN COREY FERNANDEZ (C-AA, DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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