DR. OTNIEL HERNANDEZ (DNP) – Family Nurse Practitioner, NPI 1003000720
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. OTNIEL HERNANDEZ (DNP)
PO BOX 601843
CHARLOTTE, NC 282601843
Phone:
Type: Mailing
3163 GAMMON LN STE 422
CLEMMONS, NC 270129052
Phone: (336) 310-5571
Fax: (336) 310-5574
Type: Location
1275, West 47th Place, Hialeah, Miami-Dade County, Florida, 33012, United States
SUITE 422
HIALEAH, FL 33012
Phone: (305) 676-2300
Fax: (888) 601-0076
Type: Mailing
1525 JUNIOR CT
LEHIGH ACRES, FL 339712045
Phone: (305) 833-4707
Type: Mailing
43 BARKLEY CIR STE 201
FORT MYERS, FL 339077518
Phone: (239) 603-7303
Fax: (239) 603-7107
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: 2019-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071227000001 | I | Nurse Practitioner | FL | TBD |
| I20190918000212 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 47 | 47 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 46 | 23 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 26 | 26 | $0 |
| 81003 | Automated urinalysis test | 19 | 19 | $0 |
Insurance plans in this area (ZIP 28260)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AL | |
| Family Practice | NC | |
| - | NC | |
| Physician Assistant | NC | |
| - | NC | |
| - | NC | |
| Physician Assistant | NC | |
| Physician Assistant | MT | |
| - | LA | |
| Emergency Medicine | NC |
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