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MAYRA ROMAN HERNANDEZ FNP-C
NPI 1679287957
Nurse Practitioner - Family in Upland, CA

Active since January 10, 2023PECOS Enrolled
199 N 2ND AVE, UPLAND, CA 91786(909) 321-9000(909) 321-2660 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2023, Jan 11, 2023 (2 updates tracked since 2023).

About Mayra Roman Hernandez Fnp-c NPPES

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

MAYRA ROMAN HERNANDEZ FNP-C (NPI 1679287957) is an individual family provider in Upland, California, licensed in California (NP95022573) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679287957
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAYRA ROMAN HERNANDEZCredential: FNP-C
Location Address199 N 2ND AVEUpland, CA 91786-6019
Mailing Address199 N 2nd AveUpland, CA 91786-6019
Phone(909) 321-9000
Fax(909) 321-2660
Sole ProprietorYes
Enumeration DateJanuary 10, 2023
Last NPPES UpdateJune 12, 20262 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1679287957 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 CA · NP95022573
199 N 2ND AVE, Upland, CA 91786
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra Roman Hernandez Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91786 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

ONE HEALTH CENTER, INC.
Clinic/Center (Community Health)
199 N 2ND AVE
UPLAND, CA 91786
San Bernardino County (909) 321-9000
SABRINA SERAH DE LEON
Nurse Practitioner (Family)
199 N 2ND AVE
UPLAND, CA 91786
San Bernardino County (909) 321-9000
JOHANNA AGUIRRE SALAZAR
Student in an Organized Health Care Education/Training Program
199 N 2ND AVE
UPLAND, CA 91786
San Bernardino County (909) 321-9000
ONE HEALTH CENTER, INC.
Clinic/Center (Community Health)
199 N 2ND AVE
UPLAND, CA 91786
San Bernardino County (909) 321-9000

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 Mayra Roman Hernandez's NPI number?

The NPI number for Mayra Roman Hernandez is 1679287957. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Where is Mayra Roman Hernandez located?

Mayra Roman Hernandez practices at 199 N 2nd Ave, Upland, CA 91786. The listed phone number is (909) 321-9000.

What is Mayra Roman Hernandez's specialty?

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

Is Mayra Roman Hernandez enrolled in Medicare?

Yes. Mayra Roman Hernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mayra Roman Hernandez was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.