NICHOLAS MICHAEL HERNANDEZ
NPI 1679989396
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Seattle, WA

Active since July 02, 2014PECOS EnrolledAccepts Medicare Assignment
1550 N 115TH ST, SEATTLE, WA 98133(206) 520-5000 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2022, Dec 19, 2017 (2 updates tracked since 2017).

About Nicholas Michael Hernandez NPPES

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

NICHOLAS MICHAEL HERNANDEZ (NPI 1679989396) is an individual adult reconstructive orthopaedic surgery provider in Seattle, Washington, licensed in Washington (MD61286038) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Washington Medical Ctr, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679989396
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameNICHOLAS MICHAEL HERNANDEZ
Location Address1550 N 115TH STSeattle, WA 98133-8401
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 2, 2014
Last NPPES UpdateJune 7, 20222 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
NPI 1679989396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in WA · MD61286038
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD61286038 (WA), 59423 (MN)
1550 N 115TH ST, Seattle, WA 98133

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

Nicholas Michael 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 ID9537384177
PECOS Enrollment IDI20220620001114
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.

Areas of Expertise CMS Part B claims 9

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 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.
50 services42 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.
49 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services26 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
27 services25 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers14 claims14 services$50.07 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier19 claims19 services$86.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1550 N 115TH ST
SEATTLE, WA 98133
Emergency Medicine
1550 N 115TH ST
SEATTLE, WA 98133
Emergency Medicine
1550 N 115TH ST
SEATTLE, WA 98133
Registered Nurse
1550 N 115TH ST
SEATTLE, WA 98133
Internal Medicine (Interventional Cardiology)
1550 N 115TH ST
SEATTLE, WA 98133
Anesthesiology
1550 N 115TH ST
SEATTLE, WA 98133
Emergency Medicine
1550 N 115TH ST
SEATTLE, WA 98133
Dietitian, Registered
1550 N 115TH ST
SEATTLE, WA 98133

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 Nicholas Hernandez's NPI number?

The NPI number for Nicholas Hernandez is 1679989396. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Nicholas Hernandez located?

Nicholas Hernandez practices at 1550 N 115th St, Seattle, WA 98133. The listed phone number is (206) 520-5000.

What is Nicholas Hernandez's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Nicholas Hernandez enrolled in Medicare?

Yes. Nicholas 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 Nicholas Hernandez accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicholas 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.

Is Nicholas Hernandez affiliated with any hospitals?

According to CMS data, Nicholas Hernandez is affiliated with University Of Washington Medical Ctr and Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for Nicholas Hernandez was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.