HEIDY CHANNEL FERNANDEZ (PHYSICAL ASSISTANT) – Physician Assistant, NPI 1548816069
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HEIDY CHANNEL FERNANDEZ (PHYSICAL ASSISTANT)
4611 Okeechobee Blvd Ste 110
West Palm Bch, FL 334174637
Phone: (561) 408-9444
Fax: (561) 689-7500
Type: Location
College Avenue, Williamsport, Lycoming County, Pennsylvania, 17701, United States
WILLIAMSPORT, PA 177015778
Phone: (570) 327-4779
Type: Mailing
5055 S Congress Ave Ste 303
Lake Worth, FL 334614722
Phone: (561) 968-1100
Fax: (561) 968-1106
Type: Location
1201 US HIGHWAY 1 STE 305C
NORTH PALM BEACH, FL 334083548
Phone: (866) 855-6468
Type: Mailing
1440 ROYAL PALM BEACH BLVD STE A
ROYAL PALM BEACH, FL 334111608
Phone: (561) 784-4481
Fax: (561) 784-4496
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $900.
Total Amount is formed as General ($900) + Research ($0) + Ownership ($0) = $900.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($165).
Total Amount
$900
General + Research + Ownership
Payments
24
Total payment records
General Amount
$900
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-07-03
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230703002375 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33417)
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Reviews
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