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LICCY HERNANDEZ MSN, APRN, FNP-C
NPI 1306479340
Nurse Practitioner - Family in Clearwater, FL

Active since February 18, 2020PECOS Enrolled
380 S MARTIN LUTHER KING JR AVE APT 704, CLEARWATER, FL 33756(617) 285-1529 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2025, Oct 29, 2023, Feb 18, 2020 (3 updates tracked since 2020).

About Liccy Hernandez Msn, Aprn, Fnp-c NPPES

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

LICCY HERNANDEZ MSN, APRN, FNP-C (NPI 1306479340) is an individual family provider in Clearwater, Florida, licensed in Florida (110282211) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306479340
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLICCY HERNANDEZCredential: MSN, APRN, FNP-C
Location Address380 S MARTIN LUTHER KING JR AVE APT 704Clearwater, FL 33756-5734
Mailing Address380 S Martin Luther King Jr Ave Apt 704Clearwater, FL 33756-5734 · (617) 285-1529
Phone(617) 285-1529
Sole ProprietorNo
Enumeration DateFebruary 18, 2020
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1306479340 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 FL · 110282211
Also ListedSocial WorkerTaxonomy 104100000X
380 S MARTIN LUTHER KING JR AVE APT 704, Clearwater, FL 33756
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liccy Hernandez Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Liccy Hernandez's NPI number?

The NPI number for Liccy Hernandez is 1306479340. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Liccy Hernandez located?

Liccy Hernandez practices at 380 S Martin Luther King Jr Ave Apt 704, Clearwater, FL 33756. The listed phone number is (617) 285-1529.

What is Liccy Hernandez's specialty?

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

Is Liccy Hernandez enrolled in Medicare?

Yes. Liccy Hernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Liccy Hernandez was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.