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

Individual provider Medical Physician Assistant · NPI 1639642077

Sophia J. Fernandes, PA-C is a Physician Assistant in Worcester, Massachusetts. Qualified in 2018, 8 years ago. Practices with Ear Nose and Throat Surgeons of Western New England LLC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
8
Licensed in
MA
In the registry since
2019
Specialties on file
2
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

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-4161
Fax: (508) 334-3518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Wason Ave Ste 100, Springfield, MA 01107-1179 — (413) 732-7426

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6870 (MA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA6870 (MA)

Record details

NPI number1639642077
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 8, 2019
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ear Nose And Throat Surgeons Of Western New England Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Worcester