EDITH GIULIANA HERNANDEZ HINOSTROZA M.D.
NPI 1780936922
Pediatrics in Nogales, AZ

Active since October 12, 2012PECOS Enrolled
1852 N MASTICK WAY, NOGALES, AZ 85621(520) 281-1550(520) 281-1112 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2022, Nov 2, 2021, Nov 27, 2017 (3 updates tracked since 2017).

About Edith Giuliana Hernandez Hinostroza M.d. NPPES

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

EDITH GIULIANA HERNANDEZ HINOSTROZA M.D. (NPI 1780936922) is an individual pediatrics provider in Nogales, Arizona, licensed in Arizona (50137) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780936922
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEDITH GIULIANA HERNANDEZ HINOSTROZACredential: M.D.
Location Address1852 N MASTICK WAYNogales, AZ 85621-1063
Mailing Address825 N Grand Ave Ste 100Nogales, AZ 85621-1061 · (520) 281-1550 · Fax (520) 281-1112
Fax(520) 281-1112
Sole ProprietorYes
Enumeration DateOctober 12, 2012
Last NPPES UpdateMay 26, 20223 updates tracked since enumeration
NPPES CertifiedMay 26, 2022
✔ NPI 1780936922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 50137
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1852 N MASTICK WAY, Nogales, AZ 85621

Other Names 1

Former Name (1)Edith G Hernandez

Other Identifiers 1

Medicaid045529AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edith Giuliana Hernandez Hinostroza M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Edith Hernandez Hinostroza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1852 N MASTICK WAY
Nogales, AZ 85621
  • Reassigned Medicare billing, Arizona enrollment
  • 60 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 85621 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Radiology (Diagnostic Radiology)
1852 N MASTICK WAY
NOGALES, AZ 85621
Family Medicine
1852 N MASTICK WAY
NOGALES, AZ 85621
Pediatrics
1852 N MASTICK WAY
NOGALES, AZ 85621
Nurse Practitioner (Family)
1852 N MASTICK WAY
NOGALES, AZ 85621
Family Medicine
1852 N MASTICK WAY
NOGALES, AZ 85621
Pediatrics
1852 N MASTICK WAY
NOGALES, AZ 85621
Counselor (Professional)
1852 N MASTICK WAY
NOGALES, AZ 85621
Counselor (Professional)
1852 N MASTICK WAY
NOGALES, AZ 85621

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 Edith Hernandez Hinostroza's NPI number?

The NPI number for Edith Hernandez Hinostroza is 1780936922. It was assigned to this individual provider in the NPPES registry on October 12, 2012. The provider is also known as Edith G Hernandez.

Where is Edith Hernandez Hinostroza located?

Edith Hernandez Hinostroza practices at 1852 N Mastick Way, Nogales, AZ 85621. The listed phone number is (520) 281-1550.

What is Edith Hernandez Hinostroza's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Edith Hernandez Hinostroza enrolled in Medicare?

Yes. Edith Hernandez Hinostroza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edith Hernandez Hinostroza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edith Hernandez Hinostroza reassigns Medicare benefits to Mariposa Community Health Center, Inc (Nogales, AZ). 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 Edith Hernandez Hinostroza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edith Hernandez Hinostroza accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. and 1 other insurer list Edith Hernandez Hinostroza 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 Edith Hernandez Hinostroza was last updated on May 26, 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.