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

Nicole Bliss Fernandez, CPNP, MPH

Individual provider Pediatric Nurse Practitioner · NPI 1487177432

Nicole Bliss Fernandez, CPNP, MPH is a Nurse Practitioner in New York, New York. Qualified in 2017, 9 years ago. Practices with Memorial Pediatric Group, a 39-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut, Massachusetts and New York.

Years since qualifying
9
Licensed in
CT, MA, NY
In the registry since
2017
Specialties on file
3
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (914) 227-6785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 20 York St, New Haven, CT 06510 — (914) 227-6785
  • 20 York St, New Haven, CT 06510 — (914) 227-6785

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 382953 (NY)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN2310326 (MA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 7582 (CT)

Record details

NPI number1487177432
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP , MPH
Sole proprietorNo
NPI enumeratedJuly 21, 2017
Last updated in NPPESApril 14, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Memorial Pediatric Group — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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