Ms Katelyn Marie Fernandez, PA-C, RD is a medicare enrolled "Physician Assistant" provider in Grass Valley, California. She went to University Of California, Davis School Of Medicine and graduated in 2024 and has 2 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Western Sierra Medical Clinic Inc, Western Sierra Medical Clinic Inc and her current practice location is
844 Old Tunnel Rd, Grass Valley, California. You can reach out to her office (for appointments etc.) via phone at
(530) 274-9762.
Ms Katelyn Marie Fernandez is licensed to practice in California (license number 65254) 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 1316598741.
Healthcare Provider's Profile
| Full Name | Ms Katelyn Marie Fernandez |
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| Gender | Female |
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| Speciality | General Practice |
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| Experience | 2 Years |
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| Location | 844 Old Tunnel Rd, Grass Valley, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Katelyn Marie Fernandez attended and graduated from University Of California, Davis School Of Medicine in 2024
NPI Data:
- NPI Number: 1316598741
- Provider Enumeration Date: 09/26/2019
- Last Update Date: 01/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 5193147031
- Enrollment ID: I20251112001917
Medical Identifiers
Medical identifiers for Ms Katelyn Marie Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316598741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 65254 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Western Sierra Medical Clinic Inc | 3971571217 | 35 |
| Western Sierra Medical Clinic Inc | 3971571217 | 35 |
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. Ms Katelyn Marie 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 Address | Practice Location Address |
Ms Katelyn Marie Fernandez, PA-C, RD 844 Old Tunnel Rd, Grass Valley, CA 95945-8524 Ph: (530) 274-9762 | Ms Katelyn Marie Fernandez, PA-C, RD 844 Old Tunnel Rd, Grass Valley, CA 95945-8524 Ph: (530) 274-9762 |
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