JOHN HERNANDEZ APNP
NPI 1568017424
Nurse Practitioner in Sheboygan, WI
About John Hernandez Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN HERNANDEZ APNP (NPI 1568017424) is an individual nurse practitioner in Sheboygan, Wisconsin, licensed in Wisconsin (9501-33) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 2
Accepted Insurance
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
John Hernandez Apnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 46 clinicians in this Medicare group
Hayward, WI 54843
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Lac Courte Oreilles Governing Board
- 26 clinicians in this Medicare group
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 53081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
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 John Hernandez's NPI number?
The NPI number for John Hernandez is 1568017424. It was assigned to this individual provider in the NPPES registry on August 7, 2019.
Where is John Hernandez located?
John Hernandez practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.
What is John Hernandez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is John Hernandez enrolled in Medicare?
Yes. John 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 organizations bill Medicare for John Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Hernandez reassigns Medicare benefits to 2 organizations: Lakeshore Community Health Care, Inc (Sheboygan, WI) and Lac Courte Oreilles Governing (Hayward, WI). 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 John Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Hernandez accept?
Health plans from CareSource (Common Ground Healthcare) and Security Health Plan list John 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 John Hernandez was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# John Hernandez, APNP · NPI 1568017424
Nurse Practitioner physician in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since August 7, 2019.
## Identity
- **NPI:** 1568017424 (Entity type: Individual)
- **Enumerated:** August 7, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 9501-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081-3129
- **Phone:** (920) 457-4461 · **Fax:** (920) 459-1145
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lakeshore Community Health Care, Inc (NPI 1144698549, Sheboygan, WI); Lac Courte Oreilles Governing (NPI 1194830208, Hayward, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 10, 2025
- **Other identifiers:** Other 9501-33 (WI); Medicaid 100092622 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1568017424) · Data from the CMS NPPES public registry.