Ms Katelyn Marie Fernandez, PA-C, RD is a
Physician Assistant based in Grass Valley, California. Ms Katelyn Marie Fernandez is licensed to practice in California (license number 65254) and her current practice location is
844 Old Tunnel Rd, Grass Valley, California. She can be reached at her office (for appointments etc.) via phone at
(530) 274-9762.
NPI number for Ms Katelyn Marie Fernandez is 1316598741 and her current mailing address is 844 Old Tunnel Rd, Grass Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316598741.
Healthcare Provider's Profile
| Full Name | Ms Katelyn Marie Fernandez |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 844 Old Tunnel Rd, Grass Valley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316598741
- Provider Enumeration Date: 09/26/2019
- Last Update Date: 01/15/2026
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 |
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
NOT enrolled with medicare and thus cannot 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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