Shujen T Fernandez, ARNP-C, CCRN - Medicare Nurse Practitioner in Orlando, FL

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Shujen T Fernandez, ARNP-C, CCRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Orlando, Florida. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mindful Behavioral Healthcare Llc and her current practice location is 10920 Moss Park Rd Ste 200, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 846-0533.

Shujen T Fernandez is licensed to practice in Florida (license number APRN9167756) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912304759.

Contact Information

Shujen T Fernandez, ARNP-C, CCRN
10920 Moss Park Rd Ste 200,
Orlando, FL 32832-6087
(407) 846-0533
(407) 518-1730

Map and Direction




Provider's Profile

Full NameShujen T Fernandez
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location10920 Moss Park Rd Ste 200, Orlando, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shujen T Fernandez graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1912304759
  • Provider Enumeration Date: 11/21/2014
  • Last Update Date: 10/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7911220629
  • Enrollment ID: I20150106000179

Medical Identifiers

Medical identifiers for Shujen T Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912304759NPI-NPPES
OB747OtherFLPTAN
2018014428OtherFLANCC
F0914948OtherFLAMERICAN ACADEMY OF NURSE PRACTITIONERS
IA275XOtherFLPTAN NO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner ARNP9167756 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN9167756 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mindful Behavioral Healthcare Llc781016274013

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shujen T Fernandez allows following entities to bill medicare on her behalf.
Entity NameSerenity Health Center Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568630879
PECOS PAC ID: 6002978624
Enrollment ID: O20081216000354
Entity NameMindful Behavioral Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477744548
PECOS PAC ID: 7810162740
Enrollment ID: O20111205000619
Entity NameNova Psychiatry Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285075739
PECOS PAC ID: 6800020504
Enrollment ID: O20131014000131
Entity NameNeuropsychiatry Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215483516
PECOS PAC ID: 5092093492
Enrollment ID: O20161104000885

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shujen T Fernandez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shujen T Fernandez, ARNP-C, CCRN
2316 Hillcrest St,
Orlando, FL 32803-4900

Ph: (407) 228-2804		Shujen T Fernandez, ARNP-C, CCRN
10920 Moss Park Rd Ste 200,
Orlando, FL 32832-6087

Ph: (407) 846-0533

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.