ANGEL WILFREDO HERNANDEZ (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1457444531

ANGEL WILFREDO HERNANDEZ (MD) is a healthcare provider. based in Saint petersburg, Florida. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 4301065634 (MI). The NPI Number for ANGEL WILFREDO HERNANDEZ (MD) is 1457444531

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
ANGEL WILFREDO HERNANDEZ (MD)
NPI
1457444531
Phone
(727) 898-7451
Address
501 6TH AVE S
Enumeration Date
2 October 2006
Last Update Date
10 January 2024

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
7277274429
Graduation Year
1995 (31 years ago)
PAC ID
0749187516
Group Practice PAC ID
7113989849
Professional Enrollment ID
I20240112004172
Address ID
FL337014804ST601XXSXXX416

Contacts

Secure Messaging
direct@direct.bronsonhg.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Secure Messaging
ahernandez143721@epic00.shdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

1,847 NEUROLOGY in FL

Provider Addresses for ANGEL WILFREDO HERNANDEZ (MD)

  • 501 6TH AVE S

    SAINT PETERSBURG, FL 337014634

    Phone: (727) 898-7451

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 35 MICHIGAN ST NE STE 3003

    GRAND RAPIDS, MI 495032528

    Phone: (616) 267-2500

    Fax: (616) 267-2501

    Type: Location

  • 4014 Leavenworth St

    Omaha, NE 681051053

    Phone: (402) 559-5208

    Type: Location

  • 1600 S 48th St

    Lincoln, NE 685061283

    Phone: (402) 481-5791

    Type: Location

  • 35 Michigan St NE Ste 3003

    Grand Rapids, MI 495032528

    Phone: (616) 267-2500

    Fax: (616) 267-2501

    Type: Location

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 35, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    SUITE 3003

    GRAND RAPIDS, MI 495032514

    Phone: (616) 267-2500

    Fax: (616) 267-2501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $251.

Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: UCB, Inc. ($251).

Total Amount

$251

General + Research + Ownership

Payments

2

Total payment records

General Amount

$251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
UCB, Inc.$251
View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031218000601INeurologyTXTBD
I20161208000403IPediatric MedicineMITBD
I20240112004172INeurologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113989849View full group profile
NameSpecialtyState
Nurse PractitionerFL
Pulmonary DiseaseFL
H O S P I T A L I S TFL
H O S P I T A L I S TFL
Pediatric Medicine, Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL
General SurgeryVA
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YLA

Reviews

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Frequently asked questions

What number should I use to identify ANGEL WILFREDO HERNANDEZ (MD) for billing?
Administrative and clinical systems typically use NPI 1457444531 for ANGEL WILFREDO HERNANDEZ (MD).
Should I treat ANGEL WILFREDO HERNANDEZ (MD) as an active provider?
Patients and plans typically see ANGEL WILFREDO HERNANDEZ (MD) as active in the national extract.
How should patients interpret ANGEL WILFREDO HERNANDEZ (MD)'s specialty?
The extract shows Neurology with Special Qualifications in Child Neurology Physician for ANGEL WILFREDO HERNANDEZ (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to ANGEL WILFREDO HERNANDEZ (MD)?
ANGEL WILFREDO HERNANDEZ (MD) shows a connection to Saint Petersburg, Florida in registry-derived data.
Why is information missing for ANGEL WILFREDO HERNANDEZ (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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