JACQUELINE J. HERNANDEZ NP
NPI 1265289839
Nurse Practitioner - Family in Fort Wayne, IN
About Jacqueline J. Hernandez Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE J. HERNANDEZ NP (NPI 1265289839) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71015132A) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Jacqueline J. Hernandez Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 301 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lutheran Hospital Of Indiana
Acute Care Hospitals · Fort Wayne, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
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 Jacqueline Hernandez's NPI number?
The NPI number for Jacqueline Hernandez is 1265289839. It was assigned to this individual provider in the NPPES registry on May 2, 2024.
Where is Jacqueline Hernandez located?
Jacqueline Hernandez practices at 7950 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-2297.
What is Jacqueline Hernandez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Hernandez enrolled in Medicare?
Yes. Jacqueline 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 organization bills Medicare for Jacqueline Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Hernandez reassigns Medicare benefits to Lutheran Medical Group LLC (Fort Wayne, IN). The 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 Jacqueline Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Hernandez accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Jacqueline Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jacqueline Hernandez affiliated with any hospitals?
According to CMS data, Jacqueline Hernandez is affiliated with Lutheran Hospital Of Indiana.
When was this NPI record last updated?
The NPPES record for Jacqueline Hernandez was last updated on May 2, 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.
# Jacqueline J. Hernandez, NP · NPI 1265289839
Family physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since May 2, 2024.
## Identity
- **NPI:** 1265289839 (Entity type: Individual)
- **Enumerated:** May 2, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71015132A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 7950 W JEFFERSON BLVD, Fort Wayne, IN 46804-4140
- **Phone:** (260) 432-2297 · **Fax:** (260) 434-6433
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lutheran Medical Group LLC (NPI 1164662805, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265289839) · Data from the CMS NPPES public registry.