CATHLEEN L HERNANDEZ (PA) – Surgical Physician Assistant, NPI 1124088448

CATHLEEN L HERNANDEZ (PA) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA17443 (CA). The NPI Number for CATHLEEN L HERNANDEZ (PA) is 1124088448

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
CATHLEEN L HERNANDEZ (PA)
NPI
1124088448
Phone
Not provided
Address
1400 SW 5TH AVE STE 500
Enumeration Date
23 March 2006
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9079172200
Graduation Year
2002 (24 years ago)
PAC ID
8820050081
Group Practice PAC ID
4789938499
Professional Enrollment ID
I20190207002508
Address ID
AK995084694AN3841XSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for CATHLEEN L HERNANDEZ (PA)

  • 1400 SW 5TH AVE STE 500

    PORTLAND, OR 972015537

    Phone:

    Type: Mailing

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-7820

    Type: Location

  • 9155 SW Barnes Rd

    Suite 240

    Portland, OR 972256625

    Phone: (503) 297-1419

    Fax: (503) 216-2488

    Type: Location

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    SUITE 240

    PORTLAND, OR 972256625

    Phone: (503) 297-1419

    Fax: (503) 216-2488

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $1,232.

Total Amount is formed as General ($1,232) + Research ($0) + Ownership ($0) = $1,232.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,155).

Total Amount

$1,232

General + Research + Ownership

Payments

9

Total payment records

General Amount

$1,232

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

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: 2019-02-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070910000530IPhysician AssistantORTBD
I20190207002508IPhysician AssistantAKTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2921$0
View full utilization report →

Insurance plans in this area (ZIP 97201)

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Provider's Procedures

CATHLEEN L HERNANDEZ (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTOR93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers2115

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: 4789938499View full group profile
NameSpecialtyState
Thoracic SurgeryIN
Cardiac Surgery, Thoracic SurgeryMA
Physician AssistantPA
-OR
-TX
Cardiac Surgery, Thoracic SurgeryIN
Physician AssistantOR
-OR
Thoracic Surgery, Cardiac SurgeryAK
Physician AssistantPA

Reviews

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Frequently asked questions

Can I verify CATHLEEN L HERNANDEZ (PA) with an NPI only?
You can start verification with NPI 1124088448 for CATHLEEN L HERNANDEZ (PA), then check state licensing separately.
Does the file indicate CATHLEEN L HERNANDEZ (PA) is practicing under active NPI?
Directory data currently reports CATHLEEN L HERNANDEZ (PA) as active.
What taxonomy line describes CATHLEEN L HERNANDEZ (PA)?
For research purposes, treat CATHLEEN L HERNANDEZ (PA) as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CATHLEEN L HERNANDEZ (PA) on a map?
Expect Portland, Oregon as a primary anchor for CATHLEEN L HERNANDEZ (PA) unless the record lists multiple sites.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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