MICHELLE ANGEL HERNANDEZ ROMAN APRN
NPI 1104417708
Nurse Practitioner - Family in Rock Hill, SC
About Michelle Angel Hernandez Roman Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE ANGEL HERNANDEZ ROMAN APRN (NPI 1104417708) is an individual family provider in Rock Hill, South Carolina, licensed in South Carolina (24147) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Woonsocket, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Michelle Angel Hernandez Roman Aprn 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.
Medicare Billing Reassignments
13Medicare enrollment records show Michelle Hernandez Roman reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Simpsonville, SC 29680
- Reassigned Medicare billing, South Carolina enrollment
- 176 clinicians in this Medicare group
Simpsonville, SC 29680
- Reassigned Medicare billing, South Carolina enrollment
- 112 clinicians in this Medicare group
Raleigh, NC 27615
- Reassigned Medicare billing, North Carolina enrollment
- 290 clinicians in this Medicare group
Washington, DC 20019
- Reassigned Medicare billing, District of Columbia enrollment
- 83 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, District of Columbia and Georgia enrollments
- 168 clinicians in this Medicare group
Hilliard, OH 43026
- Reassigned Medicare billing, Ohio enrollment
- 246 clinicians in this Medicare group
Sewell, NJ 08080
- Reassigned Medicare billing, New Jersey enrollment
- 243 clinicians in this Medicare group
Rocky Hill, CT 06067
- Reassigned Medicare billing, Connecticut enrollment
- 124 clinicians in this Medicare group
Woonsocket, RI 02895
- Reassigned Medicare billing, South Carolina enrollment
- 114 clinicians in this Medicare group
Woonsocket, RI 02895
- Reassigned Medicare billing, Rhode Island enrollment
- 41 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.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29732 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ROCK HILL, SC 29732
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 Michelle Hernandez Roman's NPI number?
The NPI number for Michelle Hernandez Roman is 1104417708. It was assigned to this individual provider in the NPPES registry on January 27, 2021. The provider is also known as Michelle Angel Hernandez Roman.
Where is Michelle Hernandez Roman located?
Michelle Hernandez Roman practices at 2707 Celanese Rd, Rock Hill, SC 29732. The listed phone number is (803) 366-4157.
What is Michelle Hernandez Roman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Michelle Hernandez Roman enrolled in Medicare?
Yes. Michelle Hernandez Roman 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 Michelle Hernandez Roman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Hernandez Roman reassigns Medicare benefits to 13 organizations: Minuteclinic Diagnostic South Carolina LLC (Simpsonville, SC), Minuteclinic Primary Care South Carolina LLC (Simpsonville, SC), Minuteclinic Diagnostic Of North Carolina PC (Raleigh, NC), Mc Medical Group Of Dc, PC (Washington, DC), Minuteclinic LLC (Rockville, MD) and 8 more organizations, listed in the Medicare section above. 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 Michelle Hernandez Roman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Hernandez Roman accept?
Health plans from Blue Cross and Blue Shield of NC, CareSource and CareSource (Common Ground Healthcare) list Michelle Hernandez Roman 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 Michelle Hernandez Roman was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Michelle Angel Hernandez Roman, APRN · NPI 1104417708
Family physician in Rock Hill, South Carolina. Individual provider, active in the CMS NPPES registry since January 27, 2021.
## Identity
- **NPI:** 1104417708 (Entity type: Individual)
- **Enumerated:** January 27, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 24147 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2707 CELANESE RD, Rock Hill, SC 29732-9406
- **Phone:** (803) 366-4157
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Minuteclinic Diagnostic South Carolina LLC (NPI 1447420815, Simpsonville, SC); Minuteclinic Primary Care South Carolina LLC (NPI 1548070071, Simpsonville, SC); Minuteclinic Diagnostic Of North Carolina PC (NPI 1699748608, Raleigh, NC); Mc Medical Group Of Dc, PC (NPI 1063644466, Washington, DC); Minuteclinic LLC (NPI 1134191836, Rockville, MD); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104417708) · Data from the CMS NPPES public registry.