FERNANDO FERNANDEZ (DC) – Chiropractor, NPI 1902617673

FERNANDO FERNANDEZ (DC) is a healthcare provider. based in Orlando, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH15296 (FL). The NPI Number for FERNANDO FERNANDEZ (DC) is 1902617673

Main info

Male
6 Years Of Experience
Name
FERNANDO FERNANDEZ (DC)
NPI
1902617673
Phone
(407) 857-6166
Address
4170 TOWN CTR BLVD STE 100
Enumeration Date
14 January 2025
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
4078576166
Graduation Year
2020 (6 years ago)
PAC ID
4183153265
Group Practice PAC ID
4486702065
Professional Enrollment ID
I20250121000140
Address ID
FL328375875OR4170XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for FERNANDO FERNANDEZ (DC)

  • 4170 TOWN CTR BLVD STE 100

    ORLANDO, FL 328375875

    Phone: (407) 857-6166

    Mailing address matches the actual address.

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: 2025-01-21

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
I20250121000140IChiropracticFLTBD

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 32837)

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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: 4486702065View full group profile
NameSpecialtyState
-FL
-FL
C H I R O P R A C T I CFL
Physical Therapist In Private PracticeFL
-FL
C H I R O P R A C T I CFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for FERNANDO FERNANDEZ (DC)?
FERNANDO FERNANDEZ (DC) — NPI 1902617673 — is the standard way to identify this listing.
Does CMS list FERNANDO FERNANDEZ (DC) as active?
Yes — FERNANDO FERNANDEZ (DC) is active in the NPI listing used on this page.
What healthcare role does FERNANDO FERNANDEZ (DC) hold?
Scheduling teams often label FERNANDO FERNANDEZ (DC) under Chiropractor. Clinical services aligned with this taxonomy classification.
What area does FERNANDO FERNANDEZ (DC) serve?
FERNANDO FERNANDEZ (DC)'s listing highlights Orlando, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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