ELSA R HERNANDEZ PHD
NPI 1043375074
Psychologist - Clinical in Tulsa, OK

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
89.4/100
CMS Quality Rating
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136(918) 491-3704(918) 491-5740 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elsa R Hernandez Phd NPPES

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

ELSA R HERNANDEZ PHD (NPI 1043375074) is an individual clinical provider in Tulsa, Oklahoma, licensed in Oklahoma (959) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043375074
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELSA R HERNANDEZCredential: PHD
Location Address6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITALTulsa, OK 74136-3326
Mailing AddressPo Box 21228, Department 31Tulsa, OK 74121-1228 · (918) 491-3704 · Fax (918) 491-5740
Fax(918) 491-5740
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 27, 2006
Last NPPES UpdateJanuary 31, 2017
NPI 1043375074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OK · 959
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
6655 S YALE AVE, Tulsa, OK 74136

Other Identifiers 4

Medicare UPINQ57211OK
Other2252488Cigna Beh Health
Medicare PIN243533306OK
Other7234755Aetna

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elsa R Hernandez Phd 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 ID3971529843
PECOS Enrollment IDI20051129000399
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.

Areas of Expertise CMS Part B claims

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
105 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

89.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability100
Improvement Activities40
Cost70.34

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.

Physician Assistant
6655 S YALE AVE
TULSA, OK 74136
Psychiatry & Neurology (Psychiatry)
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
TULSA, OK 74136
Social Worker (Clinical)
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
TULSA, OK 74136
Psychiatry & Neurology (Psychiatry)
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
TULSA, OK 74136
Psychiatry & Neurology (Psychiatry)
6655 S YALE AVE
TULSA, OK 74136
Counselor (Professional)
6655 S YALE AVE
TULSA, OK 74136
Social Worker (Clinical)
6655 S YALE AVE
TULSA, OK 74136
Psychiatry & Neurology (Psychiatry)
6655 S YALE AVE
TULSA, OK 74136

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 Elsa Hernandez's NPI number?

The NPI number for Elsa Hernandez is 1043375074. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Elsa Hernandez located?

Elsa Hernandez practices at 6655 S Yale Ave Laureate Psychiatric Clinic And Hospital, Tulsa, OK 74136. The listed phone number is (918) 491-3704.

What is Elsa Hernandez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elsa Hernandez enrolled in Medicare?

Yes. Elsa 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.

What insurance does Elsa Hernandez accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health, Oscar Insurance Company and UnitedHealthcare list Elsa Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elsa Hernandez was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.