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DR. NICOLAS HERNANDEZ M.D.
NPI 1275637332
Psychiatry & Neurology - Addiction Medicine in San Juan, PR

Active since September 11, 2006PECOS EnrolledAccepts Medicare Assignment
67.09/100
CMS Quality Rating
EL MONTE MALL STE 302, SAN JUAN, PR 00918(787) 764-0937 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nicolas Hernandez M.d. NPPES

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

DR. NICOLAS HERNANDEZ M.D. (NPI 1275637332) is an individual addiction medicine provider in San Juan, Puerto Rico, licensed in Puerto Rico (12019) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Auxilio Mutuo Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1275637332
Entity TypeIndividualMale
Primary Taxonomy2084A0401X
Provider Legal NameDR. NICOLAS HERNANDEZCredential: M.D.
Location AddressEL MONTE MALL STE 302San Juan, PR 00918-4257
Mailing AddressEl Monte Mall Ste 302San Juan, PR 00918-4257 · (787) 764-0937
Phone(787) 764-0937
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275637332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License✔ Licensed in PR · 12019
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
EL MONTE MALL STE 302, San Juan, PR 00918
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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

Dr. Nicolas Hernandez M.d. 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 ID6204157910
PECOS Enrollment IDI20150606000128
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 Reassignment

Medicare enrollment records show Nicolas Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc.
Specialist
735 AVE PONCE DE LEON STE 375
San Juan, PR 00917
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 44 clinicians in this Medicare group
NPI 1487947214 (787) 771-7934

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 2

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
56 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services16 patients

Hospital Affiliations CMS Care Compare

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

Auxilio Mutuo Hospital

Acute Care Hospitals · San Juan, PR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number400016
LocationPonce De Leon Avenue 735 Stop 37 1/2San Juan, PR 00918 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00918 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

67.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.73
Promoting Interoperability0
Improvement Activities40
Cost68.24

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 Nicolas Hernandez's NPI number?

The NPI number for Nicolas Hernandez is 1275637332. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Nicolas Hernandez located?

Nicolas Hernandez practices at El Monte Mall Ste 302, San Juan, PR 00918. The listed phone number is (787) 764-0937.

What is Nicolas Hernandez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Nicolas Hernandez enrolled in Medicare?

Yes. Nicolas 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 Nicolas Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Hernandez reassigns Medicare benefits to Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc. (San Juan, PR). 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 Nicolas Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicolas Hernandez affiliated with any hospitals?

According to CMS data, Nicolas Hernandez is affiliated with Auxilio Mutuo Hospital.

When was this NPI record last updated?

The NPPES record for Nicolas Hernandez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.