JENNIFER FERNANDEZ (PH.D.) – Clinical Psychologist, NPI 1558486563

JENNIFER FERNANDEZ (PH.D.) is a healthcare provider. based in Lancaster, Pennsylvania. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PS016030 (PA). The NPI Number for JENNIFER FERNANDEZ (PH.D.) is 1558486563

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER FERNANDEZ (PH.D.)
NPI
1558486563
Phone
(717) 391-6808
Address
1808 COLONIAL VILLAGE LN
Enumeration Date
20 March 2007
Last Update Date
1 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5852332817
Graduation Year
2004 (22 years ago)
PAC ID
5890010185
Group Practice PAC ID
3274830336
Professional Enrollment ID
I20150209000378
Address ID
PA196072375RE2395XPIKE316
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,669 CLINICAL PSYCHOLOGIST in PA

Provider Addresses for JENNIFER FERNANDEZ (PH.D.)

  • 1808 COLONIAL VILLAGE LN

    SUITE 103

    LANCASTER, PA 176016745

    Phone: (717) 391-6808

    Type: Location

  • 1171 MARCUS DR

    POTTSTOWN, PA 194651013

    Phone: (267) 977-6876

    Type: Mailing

  • 374 MOUNTAIN BLVD

    WERNERSVILLE, PA 195659219

    Phone: (570) 561-2982

    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: 2015-02-09

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
I20150209000378IClinical PsychologistPATBD

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
90832Psychotherapy, 30 minutes540197$0
90791Psychiatric diagnostic evaluation294294$0
90834Psychotherapy, 45 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 17601)

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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: 3274830336View full group profile
NameSpecialtyState
Clinical PsychologistPA
Nurse PractitionerPA
-PA
Physical Medicine And RehabilitationPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
E N D O C R I N O L O G YPA
-PA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIFER FERNANDEZ (PH.D.)?
NPI 1558486563 is assigned to JENNIFER FERNANDEZ (PH.D.) under the national enumeration system.
Is JENNIFER FERNANDEZ (PH.D.) active in the national directory?
JENNIFER FERNANDEZ (PH.D.)'s public NPI profile is in an active state.
Can you summarize JENNIFER FERNANDEZ (PH.D.)'s specialty in plain language?
Clinically, the directory lists JENNIFER FERNANDEZ (PH.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is JENNIFER FERNANDEZ (PH.D.)'s primary listing?
We display Lancaster, Pennsylvania because that is what the record indicates for JENNIFER FERNANDEZ (PH.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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