RAYMEL HERNANDEZ
NPI 1598307613
Nurse Practitioner - Family in Cutler Bay, FL

Active since October 09, 2019PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
20719 SW 80TH PL, CUTLER BAY, FL 33189(786) 768-6005 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Raymel Hernandez NPPES

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

RAYMEL HERNANDEZ (NPI 1598307613) is an individual family provider in Cutler Bay, Florida, licensed in Florida (APRN11004106) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1598307613
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRAYMEL HERNANDEZ
Location Address20719 SW 80TH PLCutler Bay, FL 33189-3438
Mailing Address20719 Sw 80th PlCutler Bay, FL 33189-3438
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 9, 2019
✔ NPI 1598307613 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 FL · APRN11004106
20719 SW 80TH PL, Cutler Bay, FL 33189

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Raymel Hernandez 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 ID4688090202
PECOS Enrollment IDI20200813001546
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 Raymel Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
8932 SW 97TH AVE
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 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.

Areas of Expertise CMS Part B claims 4

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 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.
247 services77 patients
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.
75 services38 patients
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.
73 services48 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.
57 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33189 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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 Raymel Hernandez's NPI number?

The NPI number for Raymel Hernandez is 1598307613. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Raymel Hernandez located?

Raymel Hernandez practices at 20719 SW 80th Pl, Cutler Bay, FL 33189. The listed phone number is (786) 768-6005.

What is Raymel Hernandez's specialty?

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

Is Raymel Hernandez enrolled in Medicare?

Yes. Raymel 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 Raymel Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymel Hernandez reassigns Medicare benefits to University Of Miami (Miami, FL). 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 Raymel Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymel Hernandez accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Raymel 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 Raymel Hernandez was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.