MADELYS HERNANDEZ URQUIAGA APRN
NPI 1689395642
Nurse Practitioner - Gerontology in Louisville, KY
About Madelys Hernandez Urquiaga Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADELYS HERNANDEZ URQUIAGA APRN (NPI 1689395642) is an individual gerontology provider in Louisville, Kentucky, licensed in Kentucky (3017009) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Madelys Hernandez Urquiaga Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Madelys Hernandez Urquiaga reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40211
- Reassigned Medicare billing, Kentucky enrollment
- 22 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOUISVILLE, KY 40211
LOUISVILLE, KY 40211
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 Madelys Hernandez Urquiaga's NPI number?
The NPI number for Madelys Hernandez Urquiaga is 1689395642. It was assigned to this individual provider in the NPPES registry on September 8, 2022.
Where is Madelys Hernandez Urquiaga located?
Madelys Hernandez Urquiaga practices at 3015 Wilson Ave, Louisville, KY 40211. The listed phone number is (502) 774-4401.
What is Madelys Hernandez Urquiaga's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Madelys Hernandez Urquiaga enrolled in Medicare?
Yes. Madelys Hernandez Urquiaga 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 Madelys Hernandez Urquiaga's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madelys Hernandez Urquiaga reassigns Medicare benefits to Park Duvalle Community Health Center, Inc. (Louisville, KY). 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 Madelys Hernandez Urquiaga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madelys Hernandez Urquiaga accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Madelys Hernandez Urquiaga 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 Madelys Hernandez Urquiaga was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Madelys Hernandez Urquiaga, APRN · NPI 1689395642
Gerontology physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since September 8, 2022.
## Identity
- **NPI:** 1689395642 (Entity type: Individual)
- **Enumerated:** September 8, 2022
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 3017009 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 3015 WILSON AVE, Louisville, KY 40211-1969
- **Phone:** (502) 774-4401
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Duvalle Community Health Center, Inc. (NPI 1245253160, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689395642) · Data from the CMS NPPES public registry.