MICHAEL HERNANDEZ – Clinical Social Worker, NPI 1053741199

MICHAEL HERNANDEZ is a healthcare provider. based in Novi, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6802087531 (MI). The NPI Number for MICHAEL HERNANDEZ is 1053741199

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL HERNANDEZ
NPI
1053741199
Phone
(248) 299-0030
Address
41521 W 11 MILE RD
Enumeration Date
26 November 2013
Last Update Date
25 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9896312320
Graduation Year
2021 (5 years ago)
PAC ID
3577089895
Group Practice PAC ID
4688660533
Professional Enrollment ID
I20250430000752
Address ID
MI486426167MI218XXDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MICHAEL HERNANDEZ

  • 41521 W 11 MILE RD

    NOVI, MI 483751803

    Phone: (248) 299-0030

    Type: Mailing

  • 203 S WASHINGTON AVE STE 310

    SAGINAW, MI 486071215

    Phone: (989) 793-4790

    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: 2025-04-30

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
I20250430000752IClinical Social WorkerMITBD

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 48375)

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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: 4688660533View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MICHAEL HERNANDEZ?
NPI 1053741199 is assigned to MICHAEL HERNANDEZ under the national enumeration system.
Is MICHAEL HERNANDEZ active in the national directory?
MICHAEL HERNANDEZ's public NPI profile is in an active state.
What does MICHAEL HERNANDEZ treat or focus on?
Patients typically see MICHAEL HERNANDEZ under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place MICHAEL HERNANDEZ?
The snapshot lists Novi, Michigan for MICHAEL HERNANDEZ; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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