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ANGELIQUE HERNANDEZ
NPI 1407749161
Nurse Practitioner - Family in Phoenix, AZ

Active since June 02, 2025PECOS Enrolled
1401 N 24TH ST STE 100, PHOENIX, AZ 85008(602) 844-7246 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angelique Hernandez NPPES

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

ANGELIQUE HERNANDEZ (NPI 1407749161) is an individual family provider in Phoenix, Arizona, licensed in Arizona (RNP324040) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407749161
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELIQUE HERNANDEZ
Location Address1401 N 24TH ST STE 100Phoenix, AZ 85008-4645
Mailing Address1401 N 24th St Ste 100Phoenix, AZ 85008-4645 · (602) 844-7246
Phone(602) 844-7246
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 2, 2025
NPPES CertifiedJune 1, 2025
✔ NPI 1407749161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · RNP324040
1401 N 24TH ST STE 100, Phoenix, AZ 85008
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelique Hernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486167731
PECOS Enrollment IDI20250630003036
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 Reassignment

Medicare enrollment records show Angelique Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Z Pain LLC
Same address
Pain Medicine
1401 N 24TH ST STE 100
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1194332973 (602) 844-7246

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 85008 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 5

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

PATRICIA MAYBORNE NP
Nurse Practitioner (Adult Health)
1401 N 24TH ST STE 100
PHOENIX, AZ 85008
Maricopa County (602) 844-7246
MINESH RAMESH ZAVERI DO
Anesthesiology (Pain Medicine)
1401 N 24TH ST STE 100
PHOENIX, AZ 85008
Maricopa County (602) 844-7246
Z PAIN LLC
Anesthesiology (Pain Medicine)
1401 N 24TH ST STE 100
PHOENIX, AZ 85008
Maricopa County (602) 844-7246
MR. CHRISTOPHER MICHAEL JOHNSON CRNA
Nurse Anesthetist, Certified Registered
1401 N 24TH ST STE 100
PHOENIX, AZ 85008
Maricopa County (602) 844-7246
SONORAN RISING ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
1401 N 24TH ST STE 100
PHOENIX, AZ 85008
Maricopa County (602) 844-7246

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 Angelique Hernandez's NPI number?

The NPI number for Angelique Hernandez is 1407749161. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Angelique Hernandez located?

Angelique Hernandez practices at 1401 N 24th St Ste 100, Phoenix, AZ 85008. The listed phone number is (602) 844-7246.

What is Angelique Hernandez's specialty?

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

Is Angelique Hernandez enrolled in Medicare?

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

Which organization bills Medicare for Angelique Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelique Hernandez reassigns Medicare benefits to Z Pain LLC (Phoenix, AZ). The 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 Angelique Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angelique Hernandez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Angelique 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 Angelique Hernandez was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.