NICHOLAS C HERNANDEZ
NPI 1811377476
Emergency Medicine in Tacoma, WA

Q: What is Nicholas Hernandez's NPI number?

The NPI number for Nicholas Hernandez is 1811377476. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Q: What is Nicholas Hernandez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment

88.21/100

CMS Quality Rating

209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 596-3300(253) 596-3301 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nicholas C Hernandez NPPES

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

NICHOLAS C HERNANDEZ (NPI 1811377476) is an individual emergency medicine provider in Tacoma, Washington, licensed in Washington (MD60934863) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with St Anthony Hospital, and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1811377476

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameNICHOLAS C HERNANDEZ

Location Address209 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4265

Mailing Address209 Martin Luther King Jr WayTacoma, WA 98405-4265 · (253) 596-3300 · Fax (253) 596-3301

Phone(253) 596-3300

Fax(253) 596-3301

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2015

Enumeration DateJune 8, 2015

Last NPPES UpdateMarch 11, 2026

NPPES CertifiedMarch 11, 2026

✔ NPI 1811377476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in WA · MD60934863✔ Licensed in AZ · R75133

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

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Secondary Practice Location 1

Location 13950 S Country Club Rd Ste 200Tucson, AZ 85714-2227 · Phone (520) 626-5582

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

Nicholas C 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 ID3971815010

PECOS Enrollment IDI20190920003098

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 Reassignments

Medicare enrollment records show Nicholas Hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Observation Associates PC

6.3 mi

Internal Medicine

34515 9TH AVE S
Federal Way, WA 98003

Reassigned Medicare billing, Washington enrollment
190 clinicians in this Medicare group

NPI 1023539376 (865) 693-1000

Kaiser Foundation Health Plan Of Washington

17 mi

Multi-Specialty

2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057

Reassigned Medicare billing, Washington enrollment
2,678 clinicians in this Medicare group

NPI 1124264577 (509) 241-7349

Northwest Emergency Physicians LLC

66 mi

Emergency Medicine

330 S STILLAGUAMISH AVE
Arlington, WA 98223

Reassigned Medicare billing, Washington enrollment
519 clinicians in this Medicare group

NPI 1235172370 (925) 251-6901

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

290 services282 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

221 services202 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

149 services148 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

83 services82 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500151

Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.21/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

89.61

Improvement Activities

Cost

71.07

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.

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