Stacy Lee Fernandez, FNP - Medicare Nurse Practitioner in Charlotte, NC

Stacy Lee Fernandez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. 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 Carolinas Physicians Network Inc, Eastland Urgent Care and her current practice location is 11115 Golf Links Dr, Ste B, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 667-0080.

Stacy Lee Fernandez is licensed to practice in North Carolina (license number 5011340) 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 1659789105.

Contact Information

Stacy Lee Fernandez, FNP
11115 Golf Links Dr, Ste B,
Charlotte, NC 28277-7826
(704) 667-0080
Not Available

Map and Direction




Provider's Profile

Full NameStacy Lee Fernandez
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location11115 Golf Links Dr, Charlotte, North Carolina
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:
  • Stacy Lee Fernandez graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1659789105
  • Provider Enumeration Date: 07/29/2014
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931407079
  • Enrollment ID: I20190502001410

Medical Identifiers

Medical identifiers for Stacy Lee Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659789105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5011340 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 5011340 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Physicians Network Inc33754496551649
Eastland Urgent Care630585259121

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. Stacy Lee Fernandez allows following entities to bill medicare on her behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Entity NameEastland Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467481127
PECOS PAC ID: 6305852591
Enrollment ID: O20060224000538
Entity NameArboretum Urgent Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457380313
PECOS PAC ID: 8325059991
Enrollment ID: O20060510000344
Entity NameSteele Creek Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750317921
PECOS PAC ID: 9234130907
Enrollment ID: O20070123000481
Entity NameThe Charlotte-mecklenburg Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605

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. Stacy Lee 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
Stacy Lee Fernandez, FNP
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Stacy Lee Fernandez, FNP
11115 Golf Links Dr, Ste B,
Charlotte, NC 28277-7826

Ph: (704) 667-0080

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.