ALYSSA KATE HERNANDEZ (MD) – Family Medicine Physician, NPI 1285071043

ALYSSA KATE HERNANDEZ (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MT204767 (PA). The NPI Number for ALYSSA KATE HERNANDEZ (MD) is 1285071043

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA KATE HERNANDEZ (MD)
NPI
1285071043
Phone
(844) 362-1735
Address
PO BOX 416457
Enumeration Date
3 June 2013
Last Update Date
1 May 2017

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
7172915991
Graduation Year
2013 (13 years ago)
PAC ID
8729351879
Group Practice PAC ID
0941103683
Professional Enrollment ID
I20200917001984
Address ID
PA176034603LA101XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,515 FAMILY PRACTICE in NJ

Provider Addresses for ALYSSA KATE HERNANDEZ (MD)

  • PO BOX 416457

    BOSTON, MA 022416457

    Phone: (844) 362-1735

    Fax: (973) 290-7495

    Type: Mailing

  • 1801 E 2ND ST

    SCOTCH PLAINS, NJ 070761749

    Phone: (908) 322-7786

    Fax: (908) 322-0191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: ViiV Healthcare Company ($60).

Total Amount

$78

General + Research + Ownership

Payments

5

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-09-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200917001984IFamily PracticePATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13189$0
99213Established patient office or other outpatient visit, 20-29 minutes10686$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4141$0
G0008Administration of influenza virus vaccine3332$0
90662Influenza vaccine split virus, preservative free3130$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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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: 0941103683View full group profile
NameSpecialtyState
Family Practice, Addiction MedicinePA
N E U R O L O G YNY
H E M A T O L O G Y/ O N C O L O G YPA
Family PracticePA
Nurse PractitionerPA
-PA
Epileptologists, NeurologyPA
-PA
Nurse PractitionerPA
-PA

Reviews

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Frequently asked questions

How do I look up ALYSSA KATE HERNANDEZ (MD) by NPI?
Use NPI 1285071043 when you need to reference ALYSSA KATE HERNANDEZ (MD) in forms, claims, or directories.
Is ALYSSA KATE HERNANDEZ (MD)'s NPI currently valid?
The extract we use shows ALYSSA KATE HERNANDEZ (MD) as active.
What kind of provider is ALYSSA KATE HERNANDEZ (MD)?
The page reflects Family Medicine Physician for ALYSSA KATE HERNANDEZ (MD). Clinical services aligned with this taxonomy classification.
Does ALYSSA KATE HERNANDEZ (MD) practice in Massachusetts?
You will see Boston, Massachusetts on file for ALYSSA KATE HERNANDEZ (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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