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JACQUELINE MARIE HERNANDEZ
NPI 1871293779
Internal Medicine in Hesperia, CA

Active since March 08, 2023PECOS EnrolledAccepts Medicare Assignment
15398 MAIN ST, HESPERIA, CA 92345(760) 927-6112 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Mar 8, 2023 (2 updates tracked since 2023).

About Jacqueline Marie Hernandez NPPES

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

JACQUELINE MARIE HERNANDEZ (NPI 1871293779) is an individual internal medicine provider in Hesperia, California, licensed in California (95022528) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other.

NPPES Registry Identity

NPI1871293779
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJACQUELINE MARIE HERNANDEZ
Location Address15398 MAIN STHesperia, CA 92345-3390
Mailing Address20060 Symeron RdApple Valley, CA 92307-2613 · (760) 927-6112
Phone(760) 927-6112
Sole ProprietorNo
Medical School CMSOther
Enumeration DateMarch 8, 2023
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1871293779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 95022528
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95022528 (CA)
15398 MAIN ST, Hesperia, CA 92345
Open in Google Maps ↗

Secondary Practice Locations 2

Location 112550 Hesperia RdVictorville, CA 92395-5873 · Phone (760) 381-7703 · Fax (760) 381-7703
Location 218310 CA-18 WApple Valley, CA 92307 · Phone (760) 961-6555

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

Jacqueline Marie 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 ID6406330109
PECOS Enrollment IDI20260320000823
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 92345 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

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

LAURETTA KAROLCZAK FNP-BC
Nurse Practitioner (Family)
15398 MAIN ST
HESPERIA, CA 92345
San Bernardino County (760) 947-8231
APARNA SHARMA M.D.
Pediatrics
15398 MAIN ST, STE. B
HESPERIA, CA 92345
San Bernardino County (760) 949-4118

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 Jacqueline Hernandez's NPI number?

The NPI number for Jacqueline Hernandez is 1871293779. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Jacqueline Hernandez located?

Jacqueline Hernandez practices at 15398 Main St, Hesperia, CA 92345. The listed phone number is (760) 927-6112.

What is Jacqueline Hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacqueline Hernandez enrolled in Medicare?

Yes. Jacqueline 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Hernandez was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.