MR. JAN HERNANDEZ NP
NPI 1629448576
Nurse Practitioner - Acute Care in New York, NY
About Mr. Jan Hernandez Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAN HERNANDEZ NP (NPI 1629448576) is an individual acute care provider in New York, New York, licensed in New York (F431499-1) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jan Hernandez Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jan Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 482 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
NEW YORK, NY 10075
NEW YORK, NY 10075
NEW YORK, NY 10075
NEW YORK, NY 10075
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 Jan Hernandez's NPI number?
The NPI number for Jan Hernandez is 1629448576. It was assigned to this individual provider in the NPPES registry on October 5, 2015.
Where is Jan Hernandez located?
Jan Hernandez practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-2000.
What is Jan Hernandez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jan Hernandez enrolled in Medicare?
Yes. Jan Hernandez is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jan Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jan Hernandez reassigns Medicare benefits to 2 organizations: Memorial Anesthesiology Group (New York, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 Jan 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 Jan Hernandez was last updated on September 4, 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.
# Mr. Jan Hernandez, NP · NPI 1629448576
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since October 5, 2015.
## Identity
- **NPI:** 1629448576 (Entity type: Individual)
- **Enumerated:** October 5, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** F431499-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 E 77TH ST, New York, NY 10075-1850
- **Phone:** (212) 434-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Memorial Anesthesiology Group (NPI 1467423020, New York, NY); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629448576) · Data from the CMS NPPES public registry.