MRS. IVETTE LUCIA HERNANDEZ (APRN, NP-C) – Family Medicine Physician, NPI 1396383998
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. IVETTE LUCIA HERNANDEZ (APRN, NP-C)
500 VONDERBURG DR STE 102
BRANDON, FL 335115968
Phone: (813) 681-5658
Fax: (813) 681-5250
Type: Mailing
4051 UPPER CREEK DR STE 112
SUN CITY CENTER, FL 335736825
Phone: (813) 681-5658
Fax: (813) 681-5250
Type: Location
500 Vonderburg Dr Ste 102
Brandon, FL 335115968
Phone: (813) 681-5658
Fax: (813) 681-5250
Type: Location
17021 PEACEFUL VALLEY DR
WIMAUMA, FL 335984269
Phone: (813) 404-9425
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $861.
Total Amount is formed as General ($861) + Research ($0) + Ownership ($0) = $861.
Last reported payment date: 2024-03-29 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($773).
Total Amount
$861
General + Research + Ownership
Payments
8
Total payment records
General Amount
$861
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $773 |
| Abbott Laboratories | $46 |
| Bayer Healthcare Pharmaceuticals Inc. | $25 |
| Novo Nordisk Inc | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230417001457 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Geriatric Medicine | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Internal Medicine | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | TN | |
| Family Practice | FL | |
| Internal Medicine | FL | |
| - | FL |
Reviews
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