GINA ELIZABETH HERNANDEZ (PA) – Physician Assistant, NPI 1760403943

GINA ELIZABETH HERNANDEZ (PA) is a healthcare provider. based in Ardmore, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1401 (OK). The NPI Number for GINA ELIZABETH HERNANDEZ (PA) is 1760403943

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
GINA ELIZABETH HERNANDEZ (PA)
NPI
1760403943
Phone
(580) 226-0543
Address
1104 WALNUT DR
Enumeration Date
22 July 2006
Last Update Date
27 July 2020

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5802233411308
Graduation Year
2004 (22 years ago)
PAC ID
8022056423
Group Practice PAC ID
4284936337
Professional Enrollment ID
I20050608000175
Address ID
OK734015722AR20XXXNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for GINA ELIZABETH HERNANDEZ (PA)

  • Walnut Drive West, Ardmore, Carter County, Oklahoma, 73401, United States

    ARDMORE, OK 734012353

    Phone: (580) 226-0543

    Fax: (580) 226-2284

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 74 Open Payments records for all available years, with a total value of $1,109.

Total Amount is formed as General ($1,109) + Research ($0) + Ownership ($0) = $1,109.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ABBVIE INC. ($204).

Total Amount

$1,109

General + Research + Ownership

Payments

74

Total payment records

General Amount

$1,109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2005-06-08

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
I20050608000175IPhysician AssistantOKTBD

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
83036Hemoglobin a1c level5231$0
81003Automated urinalysis test4629$0
71046X-ray of chest, 2 views1915$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1615$0
View full utilization report →

Insurance plans in this area (ZIP 73401)

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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: 4284936337View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerGA
Physician AssistantOK
O B S T E T R I C S/ G Y N E C O L O G YOK
Family PracticeTX
Nurse PractitionerOK
P S Y C H I A T R YOH
-OK

Reviews

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Frequently asked questions

How do I look up GINA ELIZABETH HERNANDEZ (PA) by NPI?
Use NPI 1760403943 when you need to reference GINA ELIZABETH HERNANDEZ (PA) in forms, claims, or directories.
Does this profile mean GINA ELIZABETH HERNANDEZ (PA) is currently active?
Yes — GINA ELIZABETH HERNANDEZ (PA) appears active in the national provider directory.
What field does GINA ELIZABETH HERNANDEZ (PA) work in?
You can think of GINA ELIZABETH HERNANDEZ (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is GINA ELIZABETH HERNANDEZ (PA)'s primary listing?
We display Ardmore, Oklahoma because that is what the record indicates for GINA ELIZABETH HERNANDEZ (PA).
What if Ardmore, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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