JOHN HERNANDEZ APNP
NPI 1568017424
Nurse Practitioner in Sheboygan, WI

Active since August 07, 2019PECOS EnrolledAccepts Medicare Assignment
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081(920) 457-4461(920) 459-1145 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 10, 2025, Aug 12, 2025, Oct 12, 2022 and 1 more (4 updates tracked since 2019).

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

NPI1568017424
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOHN HERNANDEZCredential: APNP
Location Address2414 KOHLER MEMORIAL DRSheboygan, WI 53081-3129
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(920) 459-1145
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 7, 2019
Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1568017424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 9501-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081

Secondary Practice Locations 3

Location 12719 Calumet AveManitowoc, WI 54220-5546 · Phone (920) 783-6633
Location 21721 Saemann AveSheboygan, WI 53081-2342 · Phone (920) 783-6633
Location 33522 W Lisbon AveMilwaukee, WI 53208-1953 · Phone (414) 935-8000

Other Identifiers 2

Other9501-33WI · License
Medicaid100092622WI

Accepted 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

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.

PECOS PAC ID8527390236
PECOS Enrollment IDI20191030001734
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 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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Physical Therapist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Optometrist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner (Psychiatric/Mental Health)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Internal Medicine (Pulmonary Disease)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Registered Nurse (Diabetes Educator)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Family Medicine
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Physician Assistant
2414 KOHLER MEMORIAL DR
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.

What insurance does John Hernandez accept?

Health plans from CareSource (Common Ground Healthcare) 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 12 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.