Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Vanessa Marie Fernandez-Miro, DO

Individual provider Family Medicine Physician · NPI 1629718002

Dr. Vanessa Marie Fernandez-Miro, DO is a Family Practice in Wasilla, Alaska. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2022, 4 years ago. Practices with Southcentral Foundation, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
4
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
AK
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 — (618) 233-7880

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 243428 (AK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629718002
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2022 (4 years in practice)
Group practice Southcentral Foundation — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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