ANN MARIE HERNANDEZ
NPI 1245792712
Family Medicine in Santa Monica, CA

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
97.24/100
CMS Quality Rating
1920 COLORADO AVE, SANTA MONICA, CA 90404(310) 319-4711 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2022, Apr 3, 2019 (2 updates tracked since 2019).

About Ann Marie Hernandez NPPES

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

ANN MARIE HERNANDEZ (NPI 1245792712) is an individual family medicine provider in Santa Monica, California, licensed in California (A179229) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2019).

NPPES Registry Identity

NPI1245792712
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANN MARIE HERNANDEZ
Location Address1920 COLORADO AVESanta Monica, CA 90404-3414
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2019
Enumeration DateApril 3, 2019
Last NPPES UpdateJuly 14, 20222 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1245792712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A179229
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.
1920 COLORADO AVE, Santa Monica, CA 90404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ann Marie 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.

PECOS PAC ID143609552
PECOS Enrollment IDI20220615001023
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ann Marie Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family Medicine
1920 COLORADO AVE
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group
Public Health, State or Local
2509 PICO BLVD
Santa Monica, CA 90405
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.94
Promoting Interoperability100
Improvement Activities40
Cost64.7

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.

Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Psychologist (Clinical)
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Student in an Organized Health Care Education/Training Program
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Student in an Organized Health Care Education/Training Program
1920 COLORADO AVE
SANTA MONICA, CA 90404
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404

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 Ann Marie Hernandez's NPI number?

The NPI number for Ann Marie Hernandez is 1245792712. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Ann Marie Hernandez located?

Ann Marie Hernandez practices at 1920 Colorado Ave, Santa Monica, CA 90404. The listed phone number is (310) 319-4711.

What is Ann Marie Hernandez's specialty?

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

Is Ann Marie Hernandez enrolled in Medicare?

Yes. Ann Marie 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.

Which organizations bill Medicare for Ann Marie Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ann Marie Hernandez reassigns Medicare benefits to 2 organizations: Uc Regents (Santa Monica, CA) and County Of Los Angeles (Santa Monica, CA). Each 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 Ann Marie Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ann Marie Hernandez was last updated on July 14, 2022. 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.