SHARLENE HERNANDEZ RN NPI 1316086200
Registered Nurse (Psychiatric/Mental Health) in Springfield, MA
NPI Profile for SHARLENE HERNANDEZ RN
Sharlene Hernandez is a provider established in Springfield, Massachusetts and her medical specialization is registered nurse (psychiatric/mental health) with more than 24 years of experience. She graduated from University Of Massachusetts Medical School in 1999. The NPI number of Sharlene Hernandez is 1316086200 and was assigned on February 2007. The practitioner's primary taxonomy code is 163WP0808X with license number RN143012PC (MA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
Sharlene Hernandez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Sharlene Hernandez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
| NPI | 1316086200 |
| Provider Name | SHARLENE HERNANDEZ RN |
| Provider Location Address | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 |
| Provider Mailing Address | 502 MEADOWECREST CIR LUDLOW, MA 01056 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1999 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 02-06-2007 |
| Last Update Date | 07-08-2007 |
Primary Taxonomy
| Taxonomy Code | 163WP0808X |
| Classification | Registered Nurse |
| Type | Nursing Service Providers |
| Specialization | Psychiatric/Mental Health |
| License No. | RN143012PC |
| License State | MA |
Business Address
SHARLENE HERNANDEZ RN
511 E COLUMBUS AVE
SPRINGFIELD, MA
ZIP 01105
Phone: (413) 827-8959
Fax: (413) 827-7015
Mailing Address
SHARLENE HERNANDEZ RN
502 MEADOWECREST CIR
LUDLOW, MA
ZIP 01056
Phone: (413) 827-8959
Fax: (413) 827-7015
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 1456344910 |
| PECOS Enrollment ID | I20040408000506 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 81Psychotherapy, 45 minutes with patient and/or family member (HCPCS:90836)
- 44Psychotherapy, 30 minutes with patient and/or family member (HCPCS:90833)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| NS0346 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA |
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 0 | 8 | 6 | 2 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 0 | 8 | 12 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 0 + 8 + 1 + 2 + 2 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1316086200 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780607671 | KIMBERLY GAGE NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1093739203 | CARRIE C. JOSEPH LICSW Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1336280726 | JAIME CINTRON Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1326189655 | TINA HUTCHINS Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1760523005 | KIMBERLY MILBERG Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1295876498 | ZENAIDA ORTEGA Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1265573463 | LETICIA GUZMAN Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1285775676 | SONJA MCKENNA Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1366583783 | KELLY DUFFY-CLARK Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1043351398 | KAREN REINIGER Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1770625592 | JACKALYN ROBINSON Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1881736510 | NICOLE GRAY Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1922140664 | DIANA M. NOTHE-TAYLOR Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1417099151 | GAIL BOURASSA Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1740322460 | THOMAS M. ROLLEND Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1386786010 | WILLIAM HACKETT Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1871635268 | LIZANDRA RODRIGUEZ Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1497897896 | KARON BELUNAS Individual | Social Worker | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1700928108 | DALE SICKLES Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
| 1053453456 | SHEILA BONILLA-ACEVEDO Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Sharlene Hernandez Rn is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.