Dear LIMY FERNANDUS:  Novitas Solutions, Inc. has approved your Change of Information (COI) application.  Medicare Enrollment Information  Individual Name: LIMY FERNANDUS Individual Specialty: NURSE PRACTITIONER Individual National Provider Identifier (NPI): 1972005189 Individual Provider Transaction Access Number (PTAN): 1K5888 Group Legal Business Name (LBN): NORMANDY URGENT CARE CENTER PA Group NPI: 1407171077 Group PTAN: 396951 Reassignment Effective Date: November 1, 2020 Changed Information: N/A  