MICHAEL HERNANDEZ – Psychiatric/Mental Health Nurse Practitioner, NPI 1760203087

MICHAEL HERNANDEZ is a healthcare provider. based in Cooper city, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11036021 (FL). The NPI Number for MICHAEL HERNANDEZ is 1760203087

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL HERNANDEZ
NPI
1760203087
Phone
(954) 947-1130
Address
9441 SW 50TH ST
Enumeration Date
19 October 2024
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7862447711
Graduation Year
2024 (2 years ago)
PAC ID
7012445786
Group Practice PAC ID
3476961368
Professional Enrollment ID
I20250108002348
Address ID
FL331301807MI66XXXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MICHAEL HERNANDEZ

  • 9441 SW 50TH ST

    COOPER CITY, FL 333284142

    Phone: (954) 947-1130

    Fax: (754) 315-2744

    Type: Mailing

  • 10400 GRIFFIN RD STE 201

    DAVIE, FL 333283321

    Phone: (954) 947-1130

    Fax: (754) 315-2744

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-01-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250108002348INurse PractitionerFLTBD

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 33328)

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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: 3476961368View full group profile
NameSpecialtyState
Clinical PsychologistMT
Clinical PsychologistLA
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Certified Nurse Midwife (Cnm)FL
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What is the standard ID for MICHAEL HERNANDEZ in the U.S.?
In the U.S., MICHAEL HERNANDEZ is identified by NPI 1760203087.
Does the public listing show MICHAEL HERNANDEZ as active?
MICHAEL HERNANDEZ's NPI record reflects an active status in NPPES.
What services align with MICHAEL HERNANDEZ's listing?
MICHAEL HERNANDEZ's public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MICHAEL HERNANDEZ?
The directory associates MICHAEL HERNANDEZ with Cooper City, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for MICHAEL HERNANDEZ?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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