NEYLEN HERNANDEZ APRN
NPI 1396215331
Nurse Practitioner in Miami, FL

Active since December 03, 2018PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1400 NW 12TH AVE, MIAMI, FL 33136(305) 495-8454 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 10, 2019, Dec 3, 2018 (2 updates tracked since 2018).

About Neylen Hernandez Aprn NPPES

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

NEYLEN HERNANDEZ APRN (NPI 1396215331) is an individual nurse practitioner in Miami, Florida, licensed in Florida (APRN11000139) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1396215331
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNEYLEN HERNANDEZCredential: APRN
Location Address1400 NW 12TH AVEMiami, FL 33136-1003
Mailing Address2640 W 76th St Apt 205Hialeah, FL 33016-5655 · (305) 332-3608
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 3, 2018
Last NPPES UpdateJanuary 10, 20192 updates tracked since enumeration
✔ NPI 1396215331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11000139
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1400 NW 12TH AVE, Miami, FL 33136

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Neylen Hernandez Aprn 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 ID3577801745
PECOS Enrollment IDI20190213001891
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Neylen Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Cardiac Electrophysiology
1295 NW 14TH ST, SUITE A
Miami, FL 33125
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
General Practice
8260 W FLAGLER ST STE 26
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1400 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Orthopaedic Surgery
1400 NW 12TH AVE
MIAMI, FL 33136
Emergency Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Dentist (General Practice)
1400 NW 12TH AVE, SUITE 2005
MIAMI, FL 33136

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 Neylen Hernandez's NPI number?

The NPI number for Neylen Hernandez is 1396215331. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Neylen Hernandez located?

Neylen Hernandez practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 495-8454.

What is Neylen Hernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Neylen Hernandez enrolled in Medicare?

Yes. Neylen 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.

Which organizations bill Medicare for Neylen Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neylen Hernandez reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and Wave Medical Center Inc (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Neylen Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neylen Hernandez accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Neylen 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 Neylen Hernandez was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.