MICHELE HERNANDEZ (OT) – Occupational Therapist, NPI 1891865242

MICHELE HERNANDEZ (OT) is a healthcare provider. based in Niceville, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. The NPI Number for MICHELE HERNANDEZ (OT) is 1891865242

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MICHELE HERNANDEZ (OT)
NPI
1891865242
Phone
(850) 897-7772
Address
4554 E Highway 20
Enumeration Date
9 November 2006
Last Update Date
17 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8508977772
Graduation Year
2001 (25 years ago)
PAC ID
6507228889
Group Practice PAC ID
2365566767
Professional Enrollment ID
I20230818000156
Address ID
FL325789755NI4554X20XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MICHELE HERNANDEZ (OT)

  • 4554 E Highway 20

    Niceville, FL 325789755

    Phone: (850) 897-7772

    Type: Location

  • PO BOX 3450

    RAPID CITY, SD 577093450

    Phone: (605) 719-1100

    Fax: (605) 719-7680

    Type: Mailing

  • Monument Health Rapid City Hospital, 353, Fairmont Boulevard, Rapid City, Pennington County, South Dakota, 57701, United States

    RAPID CITY, SD 577017375

    Phone: (605) 719-1100

    Fax: (605) 719-7680

    Type: Location

  • PO BOX 1772

    CRESTVIEW, FL 325367772

    Phone: (850) 682-7772

    Fax: (888) 308-1539

    Type: Mailing

  • 728 N FERDON BLVD

    CRESTVIEW, FL 325362155

    Phone: (850) 682-7772

    Fax: (888) 308-1539

    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: 2023-08-18

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
I20230818000156IOccupational Therapist In Private PracticeFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities21613$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18913$0
View full utilization report →

Insurance plans in this area (ZIP 32578)

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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: 2365566767View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL
-AL
-FL

Reviews

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Frequently asked questions

What is the standard ID for MICHELE HERNANDEZ (OT) in the U.S.?
In the U.S., MICHELE HERNANDEZ (OT) is identified by NPI 1891865242.
Is MICHELE HERNANDEZ (OT) currently accepting referrals based on NPI status?
Registry metadata lists MICHELE HERNANDEZ (OT) as active.
What type of care does MICHELE HERNANDEZ (OT) provide?
MICHELE HERNANDEZ (OT)'s profile centers on Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is MICHELE HERNANDEZ (OT) tied to Niceville, Florida?
If you are local to Niceville, Florida, MICHELE HERNANDEZ (OT) may be relevant to your search.
Can I export MICHELE HERNANDEZ (OT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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