MALYSSA D HERNANDEZ (APRN) – Family Nurse Practitioner, NPI 1417690165

MALYSSA D HERNANDEZ (APRN) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 853485 (NV). The NPI Number for MALYSSA D HERNANDEZ (APRN) is 1417690165

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MALYSSA D HERNANDEZ (APRN)
NPI
1417690165
Phone
(702) 240-8646
Address
9010 W Cheyenne Ave
Enumeration Date
19 April 2022
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7022408646
Graduation Year
2018 (8 years ago)
PAC ID
2668853912
Group Practice PAC ID
1254239387
Professional Enrollment ID
I20220718001466
Address ID
NV891298932LA9010XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

Provider Addresses for MALYSSA D HERNANDEZ (APRN)

  • 9010 W Cheyenne Ave

    Las Vegas, NV 891298932

    Phone: (702) 240-8646

    Fax: (702) 240-0206

    Type: Location

  • 9010 W CHEYENNE AVE

    LAS VEGAS, NV 891298932

    Phone: (702) 240-8646

    Type: Location

  • 2551 N GREEN VALLEY PKWY # 425A

    HENDERSON, NV 890140272

    Phone: (702) 450-3385

    Fax: (702) 898-1699

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $1,563.

Total Amount is formed as General ($1,563) + Research ($0) + Ownership ($0) = $1,563.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($464).

Total Amount

$1,563

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,563

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2022-07-18

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
I20220718001466INurse PractitionerNVTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4637$0
99214Established patient office or other outpatient visit, 30-39 minutes3626$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1919$0
99497Advance care planning, first 30 minutes1515$0
G0444Annual depression screening, 5 to 15 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 89129)

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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: 1254239387View full group profile
NameSpecialtyState
Physician AssistantNV
-NV
Family PracticeNV
Nurse PractitionerNV
Family PracticeNV
Family PracticeNV
Family PracticeNV
Physician AssistantNV
Family PracticeNV
Physician AssistantNV

Reviews

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Frequently asked questions

What is MALYSSA D HERNANDEZ (APRN)'s NPI number?
MALYSSA D HERNANDEZ (APRN)'s NPI is 1417690165 — the number used across U.S. healthcare to identify this provider.
Is MALYSSA D HERNANDEZ (APRN) still an active registrant?
MALYSSA D HERNANDEZ (APRN) carries an active NPI according to the public dataset.
What expertise is attributed to MALYSSA D HERNANDEZ (APRN)?
MALYSSA D HERNANDEZ (APRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MALYSSA D HERNANDEZ (APRN)?
Directory geography for MALYSSA D HERNANDEZ (APRN) centers on Las Vegas, Nevada.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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