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

Q: 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.

Q: What is Angelique Hernandez's specialty?

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

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: August 16, 2026.

On this page

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, Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)