Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eden Fernandez, PA-C

Individual provider Physician Assistant · NPI 1255681631

Eden Fernandez, PA-C is a Physician Assistant in Ellicott City, Maryland. Qualified in 2012, 14 years ago. Practices with Meritus Medical Center Inc, a 746-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
14
Licensed in
MD
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3300 Centennial Ln
Ellicott City, MD 21042-3600
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 85 Kindred Way Apt 101, Glen Burnie, MD 21061-5246 — (410) 553-6360
  • 1411 Madison Park Dr, Glen Burnie, MD 21061-6185 — (410) 553-6360

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0004811 (MD)

Record details

NPI number1255681631
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2012
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Meritus Medical Center Inc — 746 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Ellicott City