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NICHOLAS JON HERNANDEZ MD-PHD
NPI 1285210377
Anesthesiology in Salem, OR

Active since March 20, 2021PECOS EnrolledAccepts Medicare Assignment
890 OAK ST SE, SALEM, OR 97301(503) 561-5200 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 6, 2025, Jun 29, 2025, Mar 20, 2021 (3 updates tracked since 2021).

About Nicholas Jon Hernandez Md-phd NPPES

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

NICHOLAS JON HERNANDEZ MD-PHD (NPI 1285210377) is an individual anesthesiology provider in Salem, Oregon, licensed in Oregon (MD225912) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1285210377
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameNICHOLAS JON HERNANDEZCredential: MD-PHD
Location Address890 OAK ST SESalem, OR 97301-3905
Mailing Address890 Oak St SeSalem, OR 97301-3905 · (503) 561-5200
Phone(503) 561-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 20, 2021
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1285210377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in OR · MD225912
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
890 OAK ST SE, Salem, OR 97301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1750 Albany St # 2RBoston, MA 02118-2520 · Phone (617) 638-6975 · Fax (617) 638-6959

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

Nicholas Jon Hernandez Md-phd 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 ID5799180899
PECOS Enrollment IDI20250925003694
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

2

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

Salem Health
Same address
General Acute Care Hospital
890 OAK ST SE
Salem, OR 97301
  • Reassigned Medicare billing, Oregon enrollment
  • 625 clinicians in this Medicare group
NPI 1265431829 (503) 561-5200
Salem Health West Valley
14 mi
Critical Access
525 SE WASHINGTON ST
Dallas, OR 97338
  • Reassigned Medicare billing, Oregon enrollment
  • 254 clinicians in this Medicare group
NPI 1245237486 (503) 623-8301

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.

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

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.

JORDAN L BARNHART M.D.
Emergency Medicine
890 OAK ST SE, BUILDING 'A'
SALEM, OR 97301
Marion County (503) 814-1278
DR. QUINCY ENYIOMA JOHN MD
Family Medicine (Sports Medicine)
890 OAK ST SE
SALEM, OR 97301
Marion County (503) 814-1879
JACOB NICHOLSON N.P.
Nurse Practitioner (Family)
890 OAK ST SE
SALEM, OR 97301
Marion County (503) 814-2154
DR. CHANDRA MANNYAM MD
Psychiatry & Neurology (Neurology)
890 OAK ST SE
SALEM, OR 97301
Marion County (503) 814-7554
YUNFEI ZENG
Registered Nurse
890 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-5200
JOSH BREHM RN
Registered Nurse (Emergency)
890 OAK ST SE
SALEM, OR 97301
Marion County (503) 779-3530
JULIE MARIE HAYNES
Student in an Organized Health Care Education/Training Program
890 OAK ST SE
SALEM, OR 97301
Marion County (503) 561-5200
TREVOR GRANT PHILLIPS M.D.
Emergency Medicine
890 OAK ST SE, SALEM EMERGENCY PHYSICIANS C/O ED - SALEM HOSPITAL 'A'
SALEM, OR 97301
Marion County (503) 561-5634

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 Nicholas Hernandez's NPI number?

The NPI number for Nicholas Hernandez is 1285210377. It was assigned to this individual provider in the NPPES registry on March 20, 2021.

Where is Nicholas Hernandez located?

Nicholas Hernandez practices at 890 Oak St SE, Salem, OR 97301. The listed phone number is (503) 561-5200.

What is Nicholas Hernandez's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Nicholas Hernandez enrolled in Medicare?

Yes. Nicholas 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 organizations bill Medicare for Nicholas Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Hernandez reassigns Medicare benefits to 2 organizations: Salem Health (Salem, OR) and Salem Health West Valley (Dallas, OR). Each 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 Nicholas Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicholas Hernandez affiliated with any hospitals?

According to CMS data, Nicholas Hernandez is affiliated with Salem Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Hernandez was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.