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

Nicole Grace Fernandez, DO

Individual provider Psychosomatic Medicine Physician · NPI 1477119774

Nicole Grace Fernandez, DO is a Psychiatry in Winston Salem, North Carolina. Qualified in 2019, 7 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and New York.

Years since qualifying
7
Licensed in
NC, NY
In the registry since
2019
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.

See every abbreviation used in this directory →

Practice location Address checks out

175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951
Phone: (336) 718-3550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 327 Beach 19th St, Far Rockaway, NY 11691-4423 — (718) 869-7000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2025-03539 (NC)
Psychosomatic Medicine Physician Taxonomy 2084P0015X · Licence 330439 (NY)

Record details

NPI number1477119774
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 13, 2019
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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