ANTHONY HERNANDEZ
NPI 1083130058
Nurse Practitioner - Family in Lake Oswego, OR

Active since August 21, 2017PECOS EnrolledAccepts Medicare Assignment
5 CENTERPOINTE DR STE 600, LAKE OSWEGO, OR 97035(503) 603-7355 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anthony Hernandez NPPES

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

ANTHONY HERNANDEZ (NPI 1083130058) is an individual family provider in Lake Oswego, Oregon, licensed in Oregon (201706721NP-PP) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083130058
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANTHONY HERNANDEZ
Location Address5 CENTERPOINTE DR STE 600Lake Oswego, OR 97035-8662
Mailing Address2345 Park Ridge LnEugene, OR 97405-1729
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 21, 2017
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1083130058 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 OR · 201706721NP-PP
5 CENTERPOINTE DR STE 600, Lake Oswego, OR 97035

Other Identifiers 1

Other201706722DPOR · Oregon Dispensing Privilege

Accepted Insurance

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

Anthony Hernandez 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 ID9638445034
PECOS Enrollment IDI20251218003811
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 Reassignments

2

Medicare enrollment records show Anthony Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
4560 SE INTERNATIONAL WAY, SUITE 100
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 37 clinicians in this Medicare group
Otolaryngology
2355 STATE ST STE 101
Salem, OR 97301
  • Reassigned Medicare billing, Oregon enrollment
  • 8 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 9

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

Nurse Practitioner (Family)
5 CENTERPOINTE DR STE 600
LAKE OSWEGO, OR 97035
Nurse Practitioner (Family)
5 CENTERPOINTE DR STE 600
LAKE OSWEGO, OR 97035
Physician Assistant
5 CENTERPOINTE DR STE 600
LAKE OSWEGO, OR 97035
Nurse Practitioner (Gerontology)
5 CENTERPOINTE DR STE 600
LAKE OSWEGO, OR 97035
Nurse Practitioner (Family)
5 CENTERPOINTE DR STE 600
LAKE OSWEGO, OR 97035
Nurse Practitioner (Gerontology)
5 CENTERPOINTE DR STE 600
LAKE OSWEGO, OR 97035
Nurse Practitioner (Family)
5 CENTERPOINTE DR STE 600
LAKE OSWEGO, OR 97035
Preferred Provider Organization
5 CENTERPOINTE DR STE 600
LAKE OSWEGO, OR 97035

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 Anthony Hernandez's NPI number?

The NPI number for Anthony Hernandez is 1083130058. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Anthony Hernandez located?

Anthony Hernandez practices at 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035. The listed phone number is (503) 603-7355.

What is Anthony Hernandez's specialty?

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

Is Anthony Hernandez enrolled in Medicare?

Yes. Anthony 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 organizations bill Medicare for Anthony Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Hernandez reassigns Medicare benefits to 2 organizations: Marquis Clinical Services LLC (Milwaukie, OR) and Sinuclear Oregon PC (Salem, OR). Each 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 Anthony Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Hernandez accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Anthony 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 Anthony Hernandez was last updated on January 25, 2024. 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.