GWYNNE HERNANDEZ – Mental Health Counselor, NPI 1235874454

GWYNNE HERNANDEZ is a healthcare provider. based in Tigard, Oregon. specializing in CLINICAL SOCIAL WORKER. The NPI Number for GWYNNE HERNANDEZ is 1235874454

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
GWYNNE HERNANDEZ
NPI
1235874454
Phone
(503) 726-3740
Address
8915 SW CENTER ST
Enumeration Date
2 May 2022
Last Update Date
2 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5037263732
Graduation Year
2021 (5 years ago)
PAC ID
9234610189
Group Practice PAC ID
6406759893
Professional Enrollment ID
I20260227002818
Address ID
OR972236307TI8935XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,405 CLINICAL SOCIAL WORKER in OR

Provider Addresses for GWYNNE HERNANDEZ

  • 8915 SW CENTER ST

    TIGARD, OR 972236307

    Phone: (503) 726-3740

    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)

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: 2026-02-27

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
I20260227002818IClinical Social WorkerORTBD

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 97223)

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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: 6406759893View full group profile

Reviews

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Frequently asked questions

What is GWYNNE HERNANDEZ's NPI number?
GWYNNE HERNANDEZ's NPI is 1235874454 — the number used across U.S. healthcare to identify this provider.
Would GWYNNE HERNANDEZ appear as active to a payer?
You can treat GWYNNE HERNANDEZ as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is GWYNNE HERNANDEZ?
GWYNNE HERNANDEZ is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for GWYNNE HERNANDEZ?
Travel planning: use Tigard, Oregon as the reference point for GWYNNE HERNANDEZ, then confirm.
Can I trust this NPI listing for GWYNNE HERNANDEZ?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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