1. Home
  2. Directory
  3. New Jersey
  4. Summit
  5. Nurse Practitioner
  6. NPI Profile

DENICE HERNANDEZ APN
NPI 1467220251
Nurse Practitioner - Adult Health in Summit, NJ

Active since December 12, 2023PECOS EnrolledAccepts Medicare Assignment
11 OVERLOOK RD STE 140, SUMMIT, NJ 07901(908) 277-0050 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Denice Hernandez Apn NPPES

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

DENICE HERNANDEZ APN (NPI 1467220251) is an individual adult health provider in Summit, New Jersey, licensed in New Jersey (26NJ14958600) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Drexel University College Of Medicine (2023).

NPPES Registry Identity

NPI1467220251
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDENICE HERNANDEZCredential: APN
Location Address11 OVERLOOK RD STE 140Summit, NJ 07901-3577
Mailing AddressPo Box 95000 Lb#75000Philadelphia, PA 19195-3577 · (844) 362-1735
Phone(908) 277-0050
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2023
Enumeration DateDecember 12, 2023
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1467220251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ14958600
Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ14958600 (NJ)
11 OVERLOOK RD STE 140, Summit, NJ 07901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Denice Hernandez Apn 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 ID5092150144
PECOS Enrollment IDI20240228001788
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.

Areas of Expertise CMS Part B claims 3

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.
94 services76 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
50 services41 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 4

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

DR. JENNIFER MAY-ORTIZ MD
Family Medicine
11 OVERLOOK RD STE 140
SUMMIT, NJ 07901
Union County (908) 277-0050
EDWARD CHO MD
Family Medicine (Sports Medicine)
11 OVERLOOK RD STE 140
SUMMIT, NJ 07901
Union County (908) 277-0050
OMM, LLC
Neuromusculoskeletal Medicine & OMM
11 OVERLOOK RD STE 140
SUMMIT, NJ 07901
Union County (973) 507-6327
SARAH MARIE MURRAY M.D.
Family Medicine
11 OVERLOOK RD STE 140
SUMMIT, NJ 07901
Union County (908) 277-0050

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 Denice Hernandez's NPI number?

The NPI number for Denice Hernandez is 1467220251. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Denice Hernandez located?

Denice Hernandez practices at 11 Overlook Rd Ste 140, Summit, NJ 07901. The listed phone number is (908) 277-0050.

What is Denice Hernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Denice Hernandez enrolled in Medicare?

Yes. Denice 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.

What insurance does Denice Hernandez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Denice 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.

Is Denice Hernandez affiliated with any hospitals?

According to CMS data, Denice Hernandez is affiliated with Morristown Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Denice Hernandez was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.