MR. OTTONIEL HERNANDEZ NP
NPI 1053054072
Nurse Practitioner - Family in Miami, FL

Q: What is Ottoniel Hernandez's NPI number?

The NPI number for Ottoniel Hernandez is 1053054072. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Q: What is Ottoniel Hernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 18, 2022PECOS EnrolledAccepts Medicare Assignment

3100 SW 62ND AVE STE 124, MIAMI, FL 33155(305) 662-8316(305) 663-8513 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Apr 18, 2022 (2 updates tracked since 2022).

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About Mr. Ottoniel Hernandez Np NPPES

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

MR. OTTONIEL HERNANDEZ NP (NPI 1053054072) is an individual family provider in Miami, Florida, licensed in Florida (11018958) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053054072

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. OTTONIEL HERNANDEZCredential: NP

Location Address3100 SW 62ND AVE STE 124Miami, FL 33155-3009

Mailing Address3100 Sw 62nd Ave Ste 124Miami, FL 33155-3009 · (305) 662-8316 · Fax (305) 663-8513

Phone(305) 662-8316

Fax(305) 663-8513

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 18, 2022

Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration

NPPES CertifiedDecember 19, 2024

✔ NPI 1053054072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11018958

3100 SW 62ND AVE STE 124, Miami, FL 33155

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Mr. Ottoniel Hernandez Np 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 ID8527449610

PECOS Enrollment IDI20220720003651

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33155 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

Other Providers at the Same Location NPPES 4

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

IVAN PEREZ HERNANDEZ ARNP

Nurse Practitioner (Family)

3100 SW 62ND AVE STE 124
MIAMI, FL 33155

Miami-Dade County (305) 669-7144

DR. WILLIAM MARSHALL PORTNOY M.D.

Otolaryngology

3100 SW 62ND AVE STE 124
MIAMI, FL 33155

Miami-Dade County (305) 662-8377

PORTELA E.N.T., PA

Otolaryngology

3100 SW 62ND AVE STE 124
MIAMI, FL 33155

Miami-Dade County (305) 669-7144

PORTELA E.N.T., PA

Otolaryngology

3100 SW 62ND AVE STE 124
MIAMI, FL 33155

Miami-Dade County (305) 669-7144

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 Ottoniel Hernandez's NPI number?

The NPI number for Ottoniel Hernandez is 1053054072. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Ottoniel Hernandez located?

Ottoniel Hernandez practices at 3100 SW 62nd Ave Ste 124, Miami, FL 33155. The listed phone number is (305) 662-8316.

What is Ottoniel Hernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ottoniel Hernandez enrolled in Medicare?

Yes. Ottoniel 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 Ottoniel Hernandez accept?

Health plans from AvMed list Ottoniel 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 Ottoniel Hernandez was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.