NAYELI AVILES HERNANDEZ CRNP
NPI 1265998447
Nurse Practitioner - Adult Health in Huntsville, AL

NPI Status: Active since February 13, 2019

Contact Information

204 LOWE AVE SE STE 7
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 715-1054
Fax: (256) 715-1082

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  • Individual
  • Female
  • Nurse Practitioner
  • Adult Health
  • PECOS Enrolled

About NAYELI AVILES HERNANDEZ

Nayeli Aviles Hernandez is a provider established in Huntsville, Alabama and her medical specialization is Nurse Practitioner with a focus in adult health . The healthcare provider is registered in the NPI registry with number 1265998447 assigned on February 2019. The practitioner's primary taxonomy code is 363LA2200X with license number 1-154432 (AL). The provider is registered as an individual and her NPI record was last updated February 2024.

NPI
1265998447
Provider Name
NAYELI AVILES HERNANDEZ CRNP
Gender
Female
Entity Type
Individual
Location Address
204 LOWE AVE SE STE 7 HUNTSVILLE, AL 35801
Location Phone
(256) 715-1054
Location Fax
(256) 715-1082
Mailing Address
606 AVENUE C SE CULLMAN, AL 35055
Is Sole Proprietor?
Yes
Enumeration Date
02-13-2019
Last Update Date
02-19-2024
Code Navigator

A nurse practitioner (NP) like Nayeli Aviles Hernandez is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1-154432
License State
AL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

1-154432 (AL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
    • UHC Bronze Essential ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Essential (Virtual Urgent Care, No Referrals) - EPO
    • UHC Bronze Standard (No Referrals) - EPO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Value (Virtual Urgent Care + PCP Visits, No Referrals) - EPO
    • UHC Bronze Value HSA (No Referrals) - EPO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) - EPO
    • UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
    • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Gold Copay Focus (No Referrals) - EPO
    • UHC Gold Standard (No Referrals) - EPO
    • UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Silver Advantage (No Referrals) - EPO
    • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) - EPO
    • UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
    • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Silver Copay Focus (No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Nayeli Aviles Hernandez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 35801 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.95
  • Minimum New Patient Price $55.54
  • Maximum New Patient Price $170.61
  • Average New Patient Copayment $21.48
  • Minimum New Patient Copayment $13.88
  • Maximum New Patient Copayment $42.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.33
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $139.08
  • Average Established Patient Copayment $24.83
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $34.77

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for NAYELI AVILES HERNANDEZ CRNP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265998447
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251891648
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 8 + 9 + 1 + 6 + 4 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1265998447 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265998447, enumerated in the NPI registry as an "individual" on February 13, 2019

The provider is located at 204 Lowe Ave Se Ste 7 Huntsville, Al 35801 and the phone number is (256) 715-1054

The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.95 with an average copayment of $21.48 for new patient appointments. Established patients should expect a typical charge of $99.33 and an average copayment of 24.83. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on February 13, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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