CHAZ HERNANDEZ PA-C
NPI 1356837504
Physician Assistant in Ann Arbor, MI

Active since July 10, 2018PECOS EnrolledAccepts Medicare Assignment
4200 WHITEHALL DR STE 150, ANN ARBOR, MI 48105(734) 995-0308 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2020, Sep 20, 2019, Jul 10, 2018 (3 updates tracked since 2018).

About Chaz Hernandez Pa-c NPPES

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

CHAZ HERNANDEZ PA-C (NPI 1356837504) is an individual physician assistant in Ann Arbor, Michigan, licensed in Michigan (5601008856) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1356837504
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHAZ HERNANDEZCredential: PA-C
Location Address4200 WHITEHALL DR STE 150Ann Arbor, MI 48105-9694
Mailing Address24 Frank Lloyd Wright Dr Ste J2000Ann Arbor, MI 48105-9484 · (734) 747-6766
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 10, 2018
Last NPPES UpdateFebruary 14, 20203 updates tracked since enumeration
NPI 1356837504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601008856
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4200 WHITEHALL DR STE 150, Ann Arbor, MI 48105

Secondary Practice Locations 3

Location 1525 Vine St Ste 540Winston Salem, NC 27101 · Phone (815) 540-8572
Location 21228 Forsyth StWinston Salem, NC 27101-2404 · Phone (815) 540-8572
Location 3445 N Fenway DrFenton, MI 48430 · Phone (810) 616-7246

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

Chaz Hernandez Pa-c 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 ID9335492800
PECOS Enrollment IDI20221012000761
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 2

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48105 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Physician Assistant
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Physician Assistant
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Physician Assistant
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Physician Assistant (Medical)
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Family Medicine
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Family Medicine
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Emergency Medicine
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Preventive Medicine (Occupational Medicine)
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105

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 Chaz Hernandez's NPI number?

The NPI number for Chaz Hernandez is 1356837504. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Chaz Hernandez located?

Chaz Hernandez practices at 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105. The listed phone number is (734) 995-0308.

What is Chaz Hernandez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Chaz Hernandez enrolled in Medicare?

Yes. Chaz 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.

Is Chaz Hernandez affiliated with any hospitals?

According to CMS data, Chaz Hernandez is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Chaz Hernandez was last updated on February 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.