ANGELICA EMILI HERNANDEZ MONDRAGON
NPI 1871289553
Psychiatry & Neurology - Neurology in Grand Rapids, MI

Q: What is Angelica Hernandez Mondragon's NPI number?

The NPI number for Angelica Hernandez Mondragon is 1871289553. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Q: What is Angelica Hernandez Mondragon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since April 14, 2023PECOS Enrolled

220 CHERRY ST SE, GRAND RAPIDS, MI 49503(616) 685-5050(616) 685-3033 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Angelica Emili Hernandez Mondragon NPPES

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

ANGELICA EMILI HERNANDEZ MONDRAGON (NPI 1871289553) is an individual neurology provider in Grand Rapids, Michigan, licensed in Michigan (4351050877APP23) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871289553

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameANGELICA EMILI HERNANDEZ MONDRAGON

Location Address220 CHERRY ST SEGrand Rapids, MI 49503-4608

Mailing Address200 Jefferson Ave SeGrand Rapids, MI 49503-4502 · (616) 685-5050 · Fax (616) 685-3033

Phone(616) 685-5050

Fax(616) 685-3033

Sole ProprietorNo

Enumeration DateApril 14, 2023

NPPES CertifiedApril 14, 2023

✔ NPI 1871289553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MI · 4351050877APP23

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

220 CHERRY ST SE, Grand Rapids, MI 49503

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelica Emili Hernandez Mondragon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

WINNIE CHING DO

Psychiatry & Neurology (Neurology)