KATHY SUSAN HERNANDEZ M.D.
NPI 1164427654
Family Medicine in Milwaukee, WI

Q: What is Kathy Hernandez's NPI number?

The NPI number for Kathy Hernandez is 1164427654. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Q: What is Kathy Hernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathy Hernandez was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 20, 2005PECOS EnrolledAccepts Medicare Assignment

1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204(414) 672-1353(414) 672-4265 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathy Susan Hernandez M.d. NPPES

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

KATHY SUSAN HERNANDEZ M.D. (NPI 1164427654) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (32458) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1988).

NPPES Registry Identity

NPI1164427654

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKATHY SUSAN HERNANDEZCredential: M.D.

Location Address1032 S CESAR E CHAVEZ DRMilwaukee, WI 53204-2203

Mailing Address1032 S Cesar E Chavez DrMilwaukee, WI 53204-2203 · (414) 672-1353 · Fax (414) 672-4265

Phone(414) 672-1353

Fax(414) 672-4265

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1988

Enumeration DateJune 20, 2005

Last NPPES UpdateMarch 7, 2023

✔ NPI 1164427654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 32458

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1032 S CESAR E CHAVEZ DR, Milwaukee, WI 53204

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Other Identifiers 4

Medicaid31735400WI

Other810127286WI · Privatehealthcare System

Other4654337WI · Aetna

Other3596782WI · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health, Quartz, UnitedHealthcare.Insurance ›

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

Kathy Susan Hernandez M.d. 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 ID9638364284

PECOS Enrollment IDI20101109001328

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.

Areas of Expertise CMS Part B claims 2

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.

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

25 services14 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

25 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53204 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers16 claims59 services$4.11 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier13 claims13 services$24.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EMILY GEBHARDT PA-C

Physician Assistant