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

Q: 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.

Q: What is Anthony Hernandez's specialty?

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

Q: 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.

Active since August 21, 2017PECOS Enrolled

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: August 02, 2026.

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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

Phone(503) 603-7355

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

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Other Identifiers 1

Other201706722DPOR · Oregon Dispensing Privilege

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Hernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

KRISA FENTON FNP

Nurse Practitioner (Family)