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MALYSSA D HERNANDEZ APRN
NPI 1417690165
Nurse Practitioner - Family in Henderson, NV

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment
2551 N GREEN VALLEY PKWY # 425A, HENDERSON, NV 89014(702) 450-3385(702) 898-1699 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2026, Apr 2, 2025, Jul 5, 2022 and 1 more (4 updates tracked since 2022).

About Malyssa D Hernandez Aprn NPPES

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

MALYSSA D HERNANDEZ APRN (NPI 1417690165) is an individual family provider in Henderson, Nevada, licensed in Nevada (853485) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417690165
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALYSSA D HERNANDEZCredential: APRN
Location Address2551 N GREEN VALLEY PKWY # 425AHenderson, NV 89014-0272
Mailing Address9010 W Cheyenne AveLas Vegas, NV 89129-8932 · (725) 216-1762 · Fax (702) 240-0206
Phone(702) 450-3385
Fax(702) 898-1699
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 19, 2022
Last NPPES UpdateJanuary 12, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1417690165 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 NV · 853485
2551 N GREEN VALLEY PKWY # 425A, Henderson, NV 89014
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Other Names 1

Former Name (1)Malyssa D Moore Aprn

Secondary Practice Location 1

Location 19010 W Cheyenne AveLas Vegas, NV 89129-8932 · Phone (702) 240-8646 · Fax (702) 240-0206

Other Identifiers 1

Other853485NV · Aprn-cnp

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

Malyssa D 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 ID2668853912
PECOS Enrollment IDI20220718001466
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 Malyssa Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dana Forte D O Ltd
16 mi
Family Medicine
9010 W CHEYENNE AVE
Las Vegas, NV 89129
  • Reassigned Medicare billing, Nevada enrollment
  • 34 clinicians in this Medicare group
NPI 1649209420 (702) 240-8646

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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services67 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services54 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
41 services12 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
31 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89014 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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 Malyssa Hernandez's NPI number?

The NPI number for Malyssa Hernandez is 1417690165. It was assigned to this individual provider in the NPPES registry on April 19, 2022. The provider is also known as Malyssa D Moore Aprn.

Where is Malyssa Hernandez located?

Malyssa Hernandez practices at 2551 N Green Valley Pkwy # 425A, Henderson, NV 89014. The listed phone number is (702) 450-3385.

What is Malyssa Hernandez's specialty?

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

Is Malyssa Hernandez enrolled in Medicare?

Yes. Malyssa 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 organization bills Medicare for Malyssa Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malyssa Hernandez reassigns Medicare benefits to Dana Forte D O Ltd (Las Vegas, NV). 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 Malyssa 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 Malyssa Hernandez was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.