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DR. GUISELA MARIA HERNANDEZ M.D.
NPI 1033301015
Internal Medicine - Hospice and Palliative Medicine in Valley Stream, NY

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
900 FRANKLIN AVE, VALLEY STREAM, NY 11580(516) 256-6080 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Guisela Maria Hernandez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GUISELA MARIA HERNANDEZ M.D. (NPI 1033301015) is an individual hospice and palliative medicine provider in Valley Stream, New York, licensed in New York (243723) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Ponce School Of Medicine (2005).

NPPES Registry Identity

NPI1033301015
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameDR. GUISELA MARIA HERNANDEZCredential: M.D.
Location Address900 FRANKLIN AVEValley Stream, NY 11580-2145
Mailing Address900 Franklin AveValley Stream, NY 11580-2145 · (516) 256-6080
Phone(516) 256-6080
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2005
Enumeration DateAugust 14, 2007
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1033301015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in NY · 243723
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 243723 (NY)
900 FRANKLIN AVE, Valley Stream, NY 11580
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Guisela Maria Hernandez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901092634
PECOS Enrollment IDI20101120000119
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Guisela Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
4.9 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
246 services221 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
236 services192 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
85 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
65 services40 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOVANNA MICOLE LINNEN M.D.
Anesthesiology
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000
BRUNA FARIA MARTINS
Physician Assistant
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000
KAITLYN RAE ROEDA PA-C
Physician Assistant
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000
JAKE BRESNIHAN
Physician Assistant
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000
SUZETTE POWELL M.D.
Radiology (Diagnostic Radiology)
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6200
ELISABETH RENAI LOCCISANO RN, NP
Nurse Practitioner (Family)
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000
AMAYNA HAQUE PHARMD
Pharmacist
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6090
GREGORY WALLICK
Nurse Anesthetist, Certified Registered
900 FRANKLIN AVE
VALLEY STREAM, NY 11580
Nassau County (516) 256-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guisela Hernandez's NPI number?

The NPI number for Guisela Hernandez is 1033301015. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Guisela Hernandez located?

Guisela Hernandez practices at 900 Franklin Ave, Valley Stream, NY 11580. The listed phone number is (516) 256-6080.

What is Guisela Hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Guisela Hernandez enrolled in Medicare?

Yes. Guisela Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Guisela Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guisela Hernandez reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guisela Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Guisela Hernandez affiliated with any hospitals?

According to CMS data, Guisela Hernandez is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Guisela Hernandez was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.