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HEATHER NICOLE HERNANDEZ PA
NPI 1760236020
Physician Assistant in Roseburg, OR

Active since April 15, 2024PECOS EnrolledAccepts Medicare Assignment
2570 NW EDENBOWER BLVD, ROSEBURG, OR 97471(541) 733-5403 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 31, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Heather Nicole Hernandez Pa NPPES

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

HEATHER NICOLE HERNANDEZ PA (NPI 1760236020) is an individual physician assistant in Roseburg, Oregon, licensed in Oregon (PA219551) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1760236020
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEATHER NICOLE HERNANDEZCredential: PA
Location Address2570 NW EDENBOWER BLVDRoseburg, OR 97471-6214
Mailing Address333 Cedar StNew Haven, CT 06510-3206 · (541) 733-5403
Phone(541) 733-5403
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2024
Enumeration DateApril 15, 2024
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1760236020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA219551
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2570 NW EDENBOWER BLVD, Roseburg, OR 97471
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Secondary Practice Location 1

Location 1333 Cedar StNew Haven, CT 06510-3206 · Phone (541) 733-5403

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Heather Nicole Hernandez Pa 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 ID6507302551
PECOS Enrollment IDI20240725003558
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.

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
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 12

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

PAUL J FIEBER P.A.
Physician Assistant
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200
CENTENNIAL MEDICAL GROUP EAST, LLC
Family Medicine
2570 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 677-2494
ELISE ANNE LIPPINCOTT MD
Pediatrics
2570 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 677-7200
MS. CHRISTINE LAUREN HAYES
Counselor (Mental Health)
2570 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 677-7200
CHARLES A MUSGRAVE PA-C
Physician Assistant
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 97471
Douglas County (541) 957-1111
CHENELLE D MCCASKILL PA
Physician Assistant (Surgical)
2570 NW EDENBOWER BLVD, STE 100
ROSEBURG, OR 97471
Douglas County (541) 957-1111
ISABEL GABRIELA VERDUZCO QMHA-R
Case Manager/Care Coordinator
2570 NW EDENBOWER BLVD
ROSEBURG, OR 97471
Douglas County (541) 677-7200
JENNIFER T JARASA M.D.
Family Medicine
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 97471
Douglas County (541) 677-7200

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 Heather Hernandez's NPI number?

The NPI number for Heather Hernandez is 1760236020. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Heather Hernandez located?

Heather Hernandez practices at 2570 NW Edenbower Blvd, Roseburg, OR 97471. The listed phone number is (541) 733-5403.

What is Heather Hernandez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heather Hernandez enrolled in Medicare?

Yes. Heather 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 Heather Hernandez accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Heather 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 Heather Hernandez affiliated with any hospitals?

According to CMS data, Heather Hernandez is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Hernandez was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.