LOURDES CHACON HERNANDEZ
NPI 1265998801
Nurse Practitioner - Family in Hollywood, FL

Active since February 19, 2019PECOS EnrolledAccepts Medicare Assignment
3501 JOHNSON ST FL 1, HOLLYWOOD, FL 33021(954) 265-4325(954) 450-4422 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2026, May 22, 2023, May 18, 2023 and 1 more (4 updates tracked since 2019).

About Lourdes Chacon Hernandez NPPES

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

LOURDES CHACON HERNANDEZ (NPI 1265998801) is an individual family provider in Hollywood, Florida, licensed in Florida (APRN11024442) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265998801
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLOURDES CHACON HERNANDEZ
Location Address3501 JOHNSON ST FL 1Hollywood, FL 33021-5421
Mailing Address2900 Corporate Way # DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Fax(954) 450-4422
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 19, 2019
Last NPPES UpdateFebruary 9, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
NPI 1265998801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11024442
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-18-70812 (FL)
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9551811 (FL)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 11024442 (FL)
3501 JOHNSON ST FL 1, Hollywood, FL 33021

Accepted 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

Lourdes Chacon 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 ID2466975057
PECOS Enrollment IDI20250324003512
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Radiation Oncology)
3501 JOHNSON ST FL 1
HOLLYWOOD, FL 33021
Radiology (Radiation Oncology)
3501 JOHNSON ST FL 1
HOLLYWOOD, FL 33021
Radiology (Radiation Oncology)
3501 JOHNSON ST FL 1
HOLLYWOOD, FL 33021
Radiology (Radiation Oncology)
3501 JOHNSON ST FL 1
HOLLYWOOD, FL 33021
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3501 JOHNSON ST FL 1
HOLLYWOOD, FL 33021

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 Lourdes Chacon Hernandez's NPI number?

The NPI number for Lourdes Chacon Hernandez is 1265998801. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Where is Lourdes Chacon Hernandez located?

Lourdes Chacon Hernandez practices at 3501 Johnson St Fl 1, Hollywood, FL 33021. The listed phone number is (954) 265-4325.

What is Lourdes Chacon Hernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lourdes Chacon Hernandez enrolled in Medicare?

Yes. Lourdes Chacon 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.

What insurance does Lourdes Chacon Hernandez accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida list Lourdes Chacon 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 Lourdes Chacon Hernandez affiliated with any hospitals?

According to CMS data, Lourdes Chacon Hernandez is affiliated with Memorial Regional Hospital.

When was this NPI record last updated?

The NPPES record for Lourdes Chacon Hernandez was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.