ANGEL WILFREDO HERNANDEZ (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1457444531
Neurology with Special Qualifications in Child Neurology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| UCB, Inc. | $251 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031218000601 | I | Neurology | TX | TBD |
| I20161208000403 | I | Pediatric Medicine | MI | TBD |
| I20240112004172 | I | Neurology | 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 33701)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Pulmonary Disease | FL | |
| H O S P I T A L I S T | FL | |
| H O S P I T A L I S T | FL | |
| Pediatric Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| General Surgery | VA | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | LA |
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