MR. GLENN R FERNANDES (APRN, BC) – Family Nurse Practitioner, NPI 1841356441

MR. GLENN R FERNANDES (APRN, BC) is a healthcare provider. based in Fort benning, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, BC. They hold a License No. APRN11017375 (FL). The NPI Number for MR. GLENN R FERNANDES (APRN, BC) is 1841356441

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. GLENN R FERNANDES (APRN, BC)
NPI
1841356441
Phone
(706) 544-1442
Address
7950 MARTIN LOOP
Enumeration Date
28 December 2006
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8504769000
Graduation Year
2001 (25 years ago)
PAC ID
5597086827
Group Practice PAC ID
3779491386
Professional Enrollment ID
I20220718003883
Address ID
FL325042724PE4501XHWYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MR. GLENN R FERNANDES (APRN, BC)

  • Fort Benning, Cusseta-Chattahoochee County, Chattahoochee County, Georgia, 31905, United States

    MCXB-N

    FORT BENNING, GA 319055647

    Phone: (706) 544-1442

    Type: Location

  • 6724, Lorna Drive, Spring Lake, Columbus, Muscogee County, Georgia, 31909, United States

    COLUMBUS, GA 319093120

    Phone: (706) 563-3355

    Type: Mailing

  • 1005 MAR WALT DR

    FORT WALTON BEACH, FL 325476707

    Phone: (850) 863-8100

    Fax: (850) 863-4152

    Type: Mailing

  • 1032 MAR WALT DR UNIT 210

    FORT WALTON BEACH, FL 325476661

    Phone: (508) 638-2608

    Fax: (850) 862-6098

    Type: Location

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone: (904) 450-6063

    Fax: (904) 539-4091

    Type: Mailing

  • 550 REDSTONE AVE W STE 200

    CRESTVIEW, FL 325366429

    Phone: (850) 746-2520

    Fax: (850) 682-5917

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 166 Open Payments records for all available years, with a total value of $3,358.

Total Amount is formed as General ($3,358) + Research ($0) + Ownership ($0) = $3,358.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,073).

Total Amount

$3,358

General + Research + Ownership

Payments

166

Total payment records

General Amount

$3,358

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-07-18

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
I20220718003883INurse PractitionerFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes468384$0
99213Established patient office or other outpatient visit, 20-29 minutes198176$0
99204New patient office or other outpatient visit, 45-59 minutes193193$0
View full utilization report →

Insurance plans in this area (ZIP 31905)

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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: 3779491386View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MR. GLENN R FERNANDES (APRN, BC) for billing?
Administrative and clinical systems typically use NPI 1841356441 for MR. GLENN R FERNANDES (APRN, BC).
Should I treat MR. GLENN R FERNANDES (APRN, BC) as an active provider?
Patients and plans typically see MR. GLENN R FERNANDES (APRN, BC) as active in the national extract.
What does the directory say MR. GLENN R FERNANDES (APRN, BC) does?
Insurance directories may phrase it differently, but here MR. GLENN R FERNANDES (APRN, BC) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. GLENN R FERNANDES (APRN, BC)?
MR. GLENN R FERNANDES (APRN, BC) is associated with Fort Benning, Georgia in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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