SHARLENE HERNANDEZ RN NPI 1316086200
Registered Nurse - Psychiatric/Mental Health in Springfield, MA
About SHARLENE HERNANDEZ RN
Sharlene Hernandez is a provider established in Springfield, Massachusetts and her medical specialization is Registered Nurse with a focus in psychiatric/mental health with more than 24 years of experience. She graduated from University Of Massachusetts Medical School in 1999. The NPI number of this provider 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 16 years ago.
| NPI | 1316086200 |
| Provider Name | SHARLENE HERNANDEZ RN |
| Location Address | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 |
| Location Phone | (413) 827-8959 |
| 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 |
| Enumeration Date | 02-06-2007 |
| Last Update Date | 07-08-2007 |
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.
Primary Taxonomy
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.
| Taxonomy Code | 163WP0808X |
| Classification | Registered Nurse |
| Type | Nursing Service Providers |
| Specialization | Psychiatric/Mental Health |
| License No. | RN143012PC |
| License State | MA |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
511 E COLUMBUS AVE
SPRINGFIELD, MA
ZIP 01105
Phone: (413) 827-8959
Fax: (413) 827-7015
Mailing Address
502 MEADOWECREST CIR
LUDLOW, MA
ZIP 01056
Phone: (413) 827-8959
Fax: (413) 827-7015
Location Map
PECOS Enrollment and Medicare Participation Status
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.
- 74Psychotherapy, 45 minutes (HCPCS:90836)
- 19Psychotherapy, 30 minutes (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 the step by step 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 |
| 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 |
| 1316089725 | SHAWN DALEY Individual | Social Worker (Clinical) | 511 E COLUMBUS AVE SPRINGFIELD, MA 01105 (413) 827-8959 |
Frequently Asked Questions
What is Sharlene Hernandez RN NPI number?
The NPI number assigned to this healthcare provider is 1316086200, registered as an "individual" on February 06, 2007
Where is Sharlene Hernandez RN located?
The provider is located at 511 E Columbus Ave Springfield, Ma 01105 and the phone number is (413) 827-8959
Which is Sharlene Hernandez RN specialty?
The provider's speciality is Registered Nurse with a focus in Psychiatric/Mental Health
How many years of experience does Sharlene Hernandez RN have?
The provider has more than 24 years of experience. She graduated from University Of Massachusetts Medical School in 1999.
What insurance does Sharlene Hernandez RN accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Sharlene Hernandez RN registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.
What are some of the services provided by Sharlene Hernandez RN?
The most common procedures or services performed by this practitioner are: Psychotherapy, 45 minutes and Psychotherapy, 30 minutes.
How do I update my NPI information?
The NPI record of Sharlene Hernandez RN was last updated on February 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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