DAWNA RAE HERNANDEZ
NPI 1295340651
Nurse Practitioner - Family in Tucson, AZ

Active since September 12, 2020PECOS EnrolledAccepts Medicare Assignment
6.28/100
CMS Quality Rating
7091 E SPEEDWAY BLVD, TUCSON, AZ 85710(520) 721-5777 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2024, Nov 3, 2020, Sep 25, 2020 and 1 more (4 updates tracked since 2020).

About Dawna Rae Hernandez NPPES

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

DAWNA RAE HERNANDEZ (NPI 1295340651) is an individual family provider in Tucson, Arizona, licensed in Arizona (247649) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1295340651
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAWNA RAE HERNANDEZ
Location Address7091 E SPEEDWAY BLVDTucson, AZ 85710-1241
Mailing Address12900 Park Plaza Dr Ste 150Cerritos, CA 90703-9329 · (562) 677-2409
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 12, 2020
Last NPPES UpdateMay 14, 20244 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
NPI 1295340651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · 247649
Also ListedRegistered NurseTaxonomy 163W00000X · License RN171925 (AZ)
7091 E SPEEDWAY BLVD, Tucson, AZ 85710

Other Identifiers 2

OtherRN171925AZ · Azrn
Other247649AZ · Aprn

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

Dawna Rae 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 ID8820418361
PECOS Enrollment IDI20201021002220
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.

Areas of Expertise CMS Part B claims 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
661 services83 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
656 services168 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
225 services94 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
169 services160 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
91 services89 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
86 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85710 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

6.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost20.93

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims325 services$4.26 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,147 services$0.54 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$42.52 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers19 claims19 services$14.02 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims26 services$63.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Registered Nurse
7091 E SPEEDWAY BLVD
TUCSON, AZ 85710
Nurse Practitioner (Family)
7091 E SPEEDWAY BLVD
TUCSON, AZ 85710
Nurse Practitioner (Family)
7091 E SPEEDWAY BLVD
TUCSON, AZ 85710
Nurse Practitioner (Family)
7091 E SPEEDWAY BLVD
TUCSON, AZ 85710
Internal Medicine (Pulmonary Disease)
7091 E SPEEDWAY BLVD
TUCSON, AZ 85710
Nurse Practitioner (Family)
7091 E SPEEDWAY BLVD
TUCSON, AZ 85710
Dietitian, Registered
7091 E SPEEDWAY BLVD
TUCSON, AZ 85710
Nurse Practitioner
7091 E SPEEDWAY BLVD
TUCSON, AZ 85710

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 Dawna Hernandez's NPI number?

The NPI number for Dawna Hernandez is 1295340651. It was assigned to this individual provider in the NPPES registry on September 12, 2020.

Where is Dawna Hernandez located?

Dawna Hernandez practices at 7091 E Speedway Blvd, Tucson, AZ 85710. The listed phone number is (520) 721-5777.

What is Dawna Hernandez's specialty?

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

Is Dawna Hernandez enrolled in Medicare?

Yes. Dawna 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 Dawna Hernandez accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Dawna 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.

When was this NPI record last updated?

The NPPES record for Dawna Hernandez was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.