MR. GLENN R FERNANDES (APRN, BC) – Family Nurse Practitioner, NPI 1841356441
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,073 |
| Janssen Biotech, Inc. | $583 |
| Regeneron Healthcare Solutions, Inc. | $286 |
| Phathom Pharmaceuticals, Inc. | $261 |
| Takeda Pharmaceuticals U.S.A., Inc. | $190 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220718003883 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 468 | 384 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 198 | 176 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 193 | 193 | $0 |
Insurance plans in this area (ZIP 31905)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Nephrology, Internal Medicine | FL | |
| Interventional Cardiology | AL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Orthopedic Surgery | FL |
Reviews
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