STEPHANIE MORA HERNANDEZ
NPI 1104494665
Nurse Practitioner - Primary Care in Chicago, IL
About Stephanie Mora Hernandez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE MORA HERNANDEZ (NPI 1104494665) is an individual primary care provider in Chicago, Illinois, licensed in Illinois (209023388) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Yale University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
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
Stephanie Mora 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Memorial Hospital
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60622 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Stephanie Mora Hernandez's NPI number?
The NPI number for Stephanie Mora Hernandez is 1104494665. It was assigned to this individual provider in the NPPES registry on June 11, 2021.
Where is Stephanie Mora Hernandez located?
Stephanie Mora Hernandez practices at 1701 W Superior St, Chicago, IL 60622. The listed phone number is (312) 666-3494.
What is Stephanie Mora Hernandez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Stephanie Mora Hernandez enrolled in Medicare?
Yes. Stephanie Mora 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.
Is Stephanie Mora Hernandez affiliated with any hospitals?
According to CMS data, Stephanie Mora Hernandez is affiliated with Northwestern Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Stephanie Mora Hernandez was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Stephanie Mora Hernandez · NPI 1104494665
Primary Care physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since June 11, 2021.
## Identity
- **NPI:** 1104494665 (Entity type: Individual)
- **Enumerated:** June 11, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 209023388 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1701 W SUPERIOR ST, Chicago, IL 60622-5646
- **Phone:** (312) 666-3494
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Yale University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** August 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104494665) · Data from the CMS NPPES public registry.