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NICOLE HERNANDEZ
NPI 1902315427
Physician Assistant in Los Angeles, CA

Active since September 27, 2017PECOS Enrolled
2252 BEVERLY BLVD STE 103, LOS ANGELES, CA 90057(213) 674-7424 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Dec 7, 2021, Mar 19, 2021 and 6 more (9 updates tracked since 2018).

About Nicole Hernandez NPPES

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

NICOLE HERNANDEZ (NPI 1902315427) is an individual physician assistant in Los Angeles, California, licensed in California (PA58000) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902315427
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE HERNANDEZ
Location Address2252 BEVERLY BLVD STE 103Los Angeles, CA 90057-2246
Mailing Address2252 Beverly Blvd Ste 103Los Angeles, CA 90057-2246 · (213) 674-7424
Phone(213) 674-7424
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 27, 2017
Last NPPES UpdateDecember 7, 20219 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1902315427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA58000
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2252 BEVERLY BLVD STE 103, Los Angeles, CA 90057
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Hernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648537084
PECOS Enrollment IDI20201110002791
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.

Areas of Expertise CMS Part B claims 6

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
133 services30 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
113 services17 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
93 services45 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
38 services38 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
28 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90057 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 5

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

BEVERLY COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
2252 BEVERLY BLVD STE 103
LOS ANGELES, CA 90057
Los Angeles County (213) 674-7424
NUNE GALSTYAN
Clinic/Center (Community Health)
2252 BEVERLY BLVD STE 103
LOS ANGELES, CA 90057
Los Angeles County (213) 674-7424
DR. JOHN SPILLANE BURNS M.D.
Family Medicine
2252 BEVERLY BLVD STE 103
LOS ANGELES, CA 90057
Los Angeles County (213) 674-7424
MRS. RITA FARR P.A.
Physician Assistant
2252 BEVERLY BLVD STE 103
LOS ANGELES, CA 90057
Los Angeles County (213) 674-7424
MRS. SUSANNE KATHLEEN COHEN FNP
Nurse Practitioner (Family)
2252 BEVERLY BLVD STE 103
LOS ANGELES, CA 90057
Los Angeles County (213) 674-7424

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 1902315427. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Where is Nicole Hernandez located?

Nicole Hernandez practices at 2252 Beverly Blvd Ste 103, Los Angeles, CA 90057. The listed phone number is (213) 674-7424.

What is Nicole Hernandez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Hernandez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Hernandez was last updated on December 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.