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

Q: 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.

Q: What is Lourdes Chacon Hernandez's specialty?

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

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: October 18, 2026.

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

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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

Phone(954) 265-4325

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

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.

Medicare Billing Reassignments

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

South Broward Hospital District

Same address

Radiation Oncology

3501 JOHNSON ST
Hollywood, FL 33021

Reassigned Medicare billing, Florida enrollment
13 clinicians in this Medicare group

NPI 1285314310 (954) 265-8000

MD At Home Central Florida, LLC

7.8 mi

Internal Medicine

8201 PETERS RD STE 1000
Plantation, FL 33324

Reassigned Medicare billing, Florida enrollment
41 clinicians in this Medicare group

NPI 1841983970 (312) 243-2223

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.

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.

MARIA DEL ROSARIO CICCIA MD

Radiology (Radiation Oncology)