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NICOLE RENEE HERNANDEZ
NPI 1861162679
Nurse Practitioner - Primary Care in Downey, CA

Active since September 14, 2021PECOS Enrolled
8530 FIRESTONE BLVD, DOWNEY, CA 90241(562) 867-7999 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2023, Jan 12, 2022, Sep 14, 2021 (3 updates tracked since 2021).

About Nicole Renee Hernandez NPPES

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

NICOLE RENEE HERNANDEZ (NPI 1861162679) is an individual primary care provider in Downey, California, licensed in California (95019511) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861162679
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNICOLE RENEE HERNANDEZ
Location Address8530 FIRESTONE BLVDDowney, CA 90241-4926
Mailing Address8530 Firestone BlvdDowney, CA 90241-4926 · (562) 867-7999
Phone(562) 867-7999
Sole ProprietorNo
Enumeration DateSeptember 14, 2021
Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
✔ NPI 1861162679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses✔ Licensed in CA · 95019511✔ Licensed in CA · F07211198
Also ListedRegistered NurseTaxonomy 163W00000X · License 95122725 (CA)
8530 FIRESTONE BLVD, Downey, CA 90241
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Renee Hernandez 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 Reassignments

2

Medicare enrollment records show Nicole Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jwch Institute, Inc
Same address
Federally Qualified Health Center (FQHC)
8530 FIRESTONE BLVD
Downey, CA 90241
  • Reassigned Medicare billing, California enrollment
  • 138 clinicians in this Medicare group
NPI 1770988370 (323) 562-5813
Central City Community Health Center Inc
8.0 mi
Federally Qualified Health Center (FQHC)
5970 S CENTRAL AVE
Los Angeles, CA 90001
  • Reassigned Medicare billing, California enrollment
  • 91 clinicians in this Medicare group
NPI 1235283094 (323) 234-3280

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 90241 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 15

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

JOHN THANASUKARN M.D.
Pediatrics
8530 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 867-7999
NICOLE CERVANTES M.D.
Internal Medicine
8530 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 867-7999
DAISY ELIZABETH SOLIS
Community Health Worker
8530 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 862-1000
GUADALUPE ANDRADE
Case Manager/Care Coordinator
8530 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 862-1000
BIANCA J MENDOZA
Community Health Worker
8530 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 862-1000
AMBER HARRIS DC
Chiropractor
8530 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 867-7999
KARINA OCHOA
Community Health Worker
8530 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 862-1000
REBECCA CHOHLAS-WOOD MD
General Practice
8530 FIRESTONE BLVD
DOWNEY, CA 90241
Los Angeles County (562) 862-1000

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 Nicole Hernandez's NPI number?

The NPI number for Nicole Hernandez is 1861162679. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Nicole Hernandez located?

Nicole Hernandez practices at 8530 Firestone Blvd, Downey, CA 90241. The listed phone number is (562) 867-7999.

What is Nicole Hernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nicole Hernandez enrolled in Medicare?

Yes. Nicole Hernandez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Hernandez reassigns Medicare benefits to 2 organizations: Jwch Institute, Inc (Downey, CA) and Central City Community Health Center Inc (Los Angeles, CA). Each 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 Nicole Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Hernandez was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.