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CONNIE HERMOGENO FNP
NPI 1124286018
Nurse Practitioner - Family in Los Angeles, CA

Active since May 28, 2008PECOS EnrolledAccepts Medicare Assignment
1701 CESAR CHAVEZ SUITE 354, LOS ANGELES, CA 90033(323) 221-5366(323) 221-5473 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Connie Hermogeno Fnp NPPES

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

CONNIE HERMOGENO FNP (NPI 1124286018) is an individual family provider in Los Angeles, California, licensed in California (17453) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1124286018
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCONNIE HERMOGENOCredential: FNP
Location Address1701 CESAR CHAVEZ SUITE 354Los Angeles, CA 90033
Mailing Address1701 Cesar Chavez Suite 354Los Angeles, CA 90033 · (323) 221-5366 · Fax (323) 221-5473
Phone(323) 221-5366
Fax(323) 221-5473
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 28, 2008
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
✔ NPI 1124286018 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 CA · 17453
1701 CESAR CHAVEZ SUITE 354, Los Angeles, CA 90033
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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

Connie Hermogeno Fnp 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 ID6406986009
PECOS Enrollment IDI20100608000698
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 90033 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Connie Hermogeno's NPI number?

The NPI number for Connie Hermogeno is 1124286018. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Connie Hermogeno located?

Connie Hermogeno practices at 1701 Cesar Chavez Suite 354, Los Angeles, CA 90033. The listed phone number is (323) 221-5366.

What is Connie Hermogeno's specialty?

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

Is Connie Hermogeno enrolled in Medicare?

Yes. Connie Hermogeno 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.

When was this NPI record last updated?

The NPPES record for Connie Hermogeno was last updated on December 2, 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.