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

Luisa Fernandez, PA-C

Individual provider Physician Assistant · NPI 1164099784

Luisa Fernandez, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
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

140 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6185
Phone: (336) 245-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 512 Waughtown St, Winston Salem, NC 27127-2236 — (336) 792-1515

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11432 (NC)

Record details

NPI number1164099784
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 10, 2021
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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