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MRS. NICOLE HERNANDEZ MSN, CPNP-PC
NPI 1124875158
Nurse Practitioner - Pediatrics in Fair Lawn, NJ

Active since May 06, 2024PECOS Enrolled
23-00 ROUTE 208 STE 1-5, FAIR LAWN, NJ 07410(201) 797-1900 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nicole Hernandez Msn, Cpnp-pc NPPES

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

MRS. NICOLE HERNANDEZ MSN, CPNP-PC (NPI 1124875158) is an individual pediatrics provider in Fair Lawn, New Jersey, licensed in New Jersey (26NJ01062400) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124875158
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. NICOLE HERNANDEZCredential: MSN, CPNP-PC
Location Address23-00 ROUTE 208 STE 1-5Fair Lawn, NJ 07410-1555
Mailing Address23-00 Route 208 Ste 1-5Fair Lawn, NJ 07410-1555 · (201) 797-1900
Phone(201) 797-1900
Sole ProprietorNo
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1124875158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NJ · 26NJ01062400
23-00 ROUTE 208 STE 1-5, Fair Lawn, NJ 07410
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Other Names 1

Former Name (1)Nicole Bacza

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Hernandez Msn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 07410 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Nicole Hernandez's NPI number?

The NPI number for Nicole Hernandez is 1124875158. It was assigned to this individual provider in the NPPES registry on May 6, 2024. The provider is also known as Nicole Bacza.

Where is Nicole Hernandez located?

Nicole Hernandez practices at 23-00 Route 208 Ste 1-5, Fair Lawn, NJ 07410. The listed phone number is (201) 797-1900.

What is Nicole Hernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nicole Hernandez enrolled in Medicare?

Yes. Nicole Hernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Hernandez was last updated on May 6, 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.