MADELYS HERNANDEZ URQUIAGA APRN
NPI 1689395642
Nurse Practitioner - Gerontology in Louisville, KY

Active since September 08, 2022PECOS EnrolledAccepts Medicare Assignment
3015 WILSON AVE, LOUISVILLE, KY 40211(502) 774-4401 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Sep 8, 2022 (2 updates tracked since 2022).

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

NPI1689395642
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMADELYS HERNANDEZ URQUIAGACredential: APRN
Location Address3015 WILSON AVELouisville, KY 40211-1969
Mailing Address1418 Garvey DrLouisville, KY 40216-3924
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 8, 2022
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1689395642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in KY · 3017009
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3017009 (KY)
3015 WILSON AVE, Louisville, KY 40211

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

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.

PECOS PAC ID8224491550
PECOS Enrollment IDI20230901003260
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 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.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
3015 WILSON AVE
LOUISVILLE, KY 40211
Community Health Worker
3015 WILSON AVE
LOUISVILLE, KY 40211
Family Medicine (Adult Medicine)
3015 WILSON AVE
LOUISVILLE, KY 40211
Dentist (General Practice)
3015 WILSON AVE
LOUISVILLE, KY 40211
Dentist (General Practice)
3015 WILSON AVE
LOUISVILLE, KY 40211
Nurse Practitioner (Family)
3015 WILSON AVE
LOUISVILLE, KY 40211
Nurse Practitioner (Family)
3015 WILSON AVE
LOUISVILLE, KY 40211
Pharmacist
3015 WILSON AVE
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.

What insurance does Madelys Hernandez Urquiaga accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource 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 20 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.