ADAM HERNANDEZ
NPI 1073113635
Chiropractor in Beaverton, OR
About Adam Hernandez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADAM HERNANDEZ (NPI 1073113635) is an individual chiropractor in Beaverton, Oregon, licensed in Oregon (6102) and active in the NPI registry since October 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Adam Hernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Adam Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97210
- Reassigned Medicare billing, Oregon enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Adam Hernandez's NPI number?
The NPI number for Adam Hernandez is 1073113635. It was assigned to this individual provider in the NPPES registry on October 31, 2020.
Where is Adam Hernandez located?
Adam Hernandez practices at 10208 SW Conestoga Dr Apt 41, Beaverton, OR 97008. The listed phone number is (636) 751-1684.
What is Adam Hernandez's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Adam Hernandez enrolled in Medicare?
Yes. Adam Hernandez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Adam Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Hernandez reassigns Medicare benefits to Shephard Clinic Of The Chiropractic Arts (Portland, OR). 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 Adam Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Adam Hernandez was last updated on May 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Adam Hernandez · NPI 1073113635
Chiropractor provider in Beaverton, Oregon. Individual provider, active in the CMS NPPES registry since October 31, 2020.
## Identity
- **NPI:** 1073113635 (Entity type: Individual)
- **Enumerated:** October 31, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 6102 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10208 SW CONESTOGA DR APT 41, Beaverton, OR 97008-8416
- **Phone:** (636) 751-1684
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Shephard Clinic Of The Chiropractic Arts (NPI 1194883959, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1073113635) · Data from the CMS NPPES public registry.