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HERNANDEZ FAMILY CARE
NPI 1215619580
Family Medicine in Jacksonville, AR

Active since August 04, 2023CLIA 04D2271981 · Waiver
1424 BRADEN ST, JACKSONVILLE, AR 72076(501) 621-2700(877) 673-1707 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hernandez Family Care NPPES

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

HERNANDEZ FAMILY CARE (NPI 1215619580) is a healthcare organization registered as a family medicine in Jacksonville, Arkansas and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through November 13, 2028 and lists Julian Hernandez, Owner, as its authorized official.

NPPES Registry Identity

NPI1215619580
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHERNANDEZ FAMILY CARE
Location Address1424 BRADEN STJacksonville, AR 72076-3721
Mailing Address1424 Braden StJacksonville, AR 72076-3721 · (501) 621-2700 · Fax (877) 673-1707
Phone(501) 621-2700
Fax(877) 673-1707
Organization SubpartNo
Authorized OfficialJulian HernandezOwner · (501) 621-2700
Enumeration DateAugust 4, 2023
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1215619580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1424 BRADEN ST, Jacksonville, AR 72076
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hernandez Family Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hernandez Family Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Julian Hernandez, M.D.
Family Practice
NPI 1396935466
1424 BRADEN ST
Jacksonville, AR 72076
(501) 621-2700
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2271981

Hernandez Family Care · Jacksonville, AR
Active · expires Nov 13, 2028
CLIA Number04D2271981
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2026
Certificate Expiration DateNovember 13, 2028
Laboratory DirectorJulian Hernandez
Laboratory Phone(501) 621-2700
Laboratory LocationHernandez Family Care1424 Braden St, Jacksonville, AR 72076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hernandez Family Care's NPI number?

The NPI number for Hernandez Family Care is 1215619580. It was assigned to this organization in the NPPES registry on August 4, 2023.

Where is Hernandez Family Care located?

Hernandez Family Care is located at 1424 Braden St, Jacksonville, AR 72076. The listed phone number is (501) 621-2700.

What is Hernandez Family Care's specialty?

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

Is Hernandez Family Care enrolled in Medicare?

Yes. Hernandez Family Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hernandez Family Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Hernandez Family Care. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hernandez Family Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2271981) is associated with this NPI, valid through November 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hernandez Family Care was last updated on May 8, 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.