MARIA DOLORES HERNANDEZ M.D.
NPI 1891960738
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Carroll, IA

Q: What is Maria Hernandez's NPI number?

The NPI number for Maria Hernandez is 1891960738. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Q: What is Maria Hernandez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Maria Hernandez was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 22, 2008PECOS EnrolledAccepts Medicare Assignment

81.6/100

CMS Quality Rating

405 S CLARK ST STE 100, CARROLL, IA 51401(712) 792-2222(712) 792-3875 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, Aug 24, 2022, Dec 28, 2015 and 1 more (4 updates tracked since 2015).

On this page

About Maria Dolores Hernandez M.d. NPPES

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

MARIA DOLORES HERNANDEZ M.D. (NPI 1891960738) is an individual urogynecology and reconstructive pelvic surgery provider in Carroll, Iowa, licensed in Iowa (MD-43064) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Monroe County Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2004).

NPPES Registry Identity

NPI1891960738

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameMARIA DOLORES HERNANDEZCredential: M.D.

Location Address405 S CLARK ST STE 100Carroll, IA 51401-3047

Mailing Address405 S Clark St Ste 100, Suite 100Carroll, IA 51401-3047 · (712) 792-2222 · Fax (712) 792-3875

Phone(712) 792-2222

Fax(712) 792-3875

Sole ProprietorYes

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2004

Enumeration DateApril 22, 2008

Last NPPES UpdateJune 5, 20264 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1891960738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in IA · MD-43064

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License MD-43064 (IA)

405 S CLARK ST STE 100, Carroll, IA 51401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Maria Dolores Hernandez M.d. 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 ID3779659826

PECOS Enrollment IDI20160115001293

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 Maria Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Anthony Regional Hospital And Nursing Home

0.1 mi

Critical Access

311 S CLARK ST
Carroll, IA 51401

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1629460555 (Iowa)
96 clinicians in this Medicare group

NPI 1720067127 (712) 792-3581

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

Hospital Affiliations CMS Care Compare 2

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

Monroe County Hospital

Critical Access Hospitals · Albia, IA

OwnershipGovernment - Local

CMS Certification Number161342

Location6580 165th StreetAlbia, IA 52531 · Monroe County

Emergency services

Pella Regional Health Center

Critical Access Hospitals · Pella, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number161367

Location404 Jefferson StreetPella, IA 50219 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51401 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

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.

81.6/100

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

Scored as part of a group practice

Quality

87.55

Promoting Interoperability

100

Improvement Activities

Cost

51.12

Other Providers at the Same Location NPPES 3

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

ALLYSHA HUDDLESON ARNP

Nurse Practitioner (Family)

405 S CLARK ST STE 100
CARROLL, IA 51401

Carroll County (712) 792-2222

DR. BRIDGET MARIE SHARIAT D.O.

Family Medicine

405 S CLARK ST STE 100
CARROLL, IA 51401

Carroll County (712) 792-2222

SARAH GRETEMAN

Physician Assistant

405 S CLARK ST STE 100
CARROLL, IA 51401

Carroll County (712) 792-5086

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 Maria Hernandez's NPI number?

The NPI number for Maria Hernandez is 1891960738. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Maria Hernandez located?

Maria Hernandez practices at 405 S Clark St Ste 100, Carroll, IA 51401. The listed phone number is (712) 792-2222.

What is Maria Hernandez's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Maria Hernandez enrolled in Medicare?

Yes. Maria 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.

Which organization bills Medicare for Maria Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Hernandez reassigns Medicare benefits to St Anthony Regional Hospital And Nursing Home (Carroll, IA). 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 Maria Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Hernandez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Maria Hernandez 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.

Is Maria Hernandez affiliated with any hospitals?

According to CMS data, Maria Hernandez is affiliated with Monroe County Hospital and Pella Regional Health Center.

When was this NPI record last updated?

The NPPES record for Maria Hernandez was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.