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JILL HERNANDEZ
NPI 1417507294
Nurse Anesthetist, Certified Registered in Fontana, CA

Active since September 13, 2019
9961 SIERRA AVE, FONTANA, CA 92335(909) 302-4924 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2021, Nov 3, 2021, Sep 13, 2019 (3 updates tracked since 2019).

About Jill Hernandez NPPES

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

JILL HERNANDEZ (NPI 1417507294) is an individual nurse anesthetist, certified registered in Fontana, California, licensed in California (95001195) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1417507294
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJILL HERNANDEZ
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address1418 Sunset AvePasadena, CA 91103-2147 · (817) 680-8199
Phone(909) 302-4924
Sole ProprietorNo
Enumeration DateSeptember 13, 2019
Last NPPES UpdateDecember 1, 20213 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1417507294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in CA · 95001195✔ Licensed in CA · 129348
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
9961 SIERRA AVE, Fontana, CA 92335
Open in Google Maps ↗

Other Names 1

Former Name (1)Jill Luce

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignments

3

Medicare enrollment records show Jill Hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1689606196 (909) 427-3910
Glendora Anesthesia Associates LP
26 mi
Nurse Anesthetist, Certified Registered
1794 S BARRANCA AVE
Glendora, CA 91740
  • Reassigned Medicare billing, California enrollment
  • 43 clinicians in this Medicare group
NPI 1750748331 (626) 858-4600
Amsurg Arcadia Anesthesia LP
34 mi
Anesthesiology
488 EAST SANTA CLARA STREET, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 72 clinicians in this Medicare group
NPI 1114291226 (626) 359-9555

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

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
16 services16 patients

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.

SHEILA ANN VANALLEN PT
Physical Therapist
9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335
San Bernardino County (909) 427-7727
MR. JAMES DAVID KILLEEN III M.D.
Pediatrics
9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335
San Bernardino County (909) 427-6960
MR. DHIRESH N PATEL RPH
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 302-8018
JOSHUA MO MD
Pathology (Dermatopathology)
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5000
MS. STELLA MARIS CARLOS R.D.
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 472-7185
KADETTE KELLY CRNA
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
YAEL STEINFELD NP
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
SCOTT SWARTZ NP
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910

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 Jill Hernandez's NPI number?

The NPI number for Jill Hernandez is 1417507294. It was assigned to this individual provider in the NPPES registry on September 13, 2019. The provider is also known as Jill Luce.

Where is Jill Hernandez located?

Jill Hernandez practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 302-4924.

What is Jill Hernandez's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jill Hernandez enrolled in Medicare?

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

Which organizations bill Medicare for Jill Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Hernandez reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Fontana, CA), Glendora Anesthesia Associates LP (Glendora, CA) and Amsurg Arcadia Anesthesia LP (Arcadia, CA). 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 Jill Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jill Hernandez was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.