KIEU HERNANDEZ (AGACNP-BC) – Nurse Practitioner, NPI 1659194785

KIEU HERNANDEZ (AGACNP-BC) is a healthcare provider. based in Cornelius, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 10034954 (OR). The NPI Number for KIEU HERNANDEZ (AGACNP-BC) is 1659194785

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KIEU HERNANDEZ (AGACNP-BC)
NPI
1659194785
Phone
(832) 589-2530
Address
2140 S IVY ST
Enumeration Date
6 November 2024
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5036811111
Graduation Year
2024 (2 years ago)
PAC ID
0941724975
Group Practice PAC ID
7416173414
Professional Enrollment ID
I20250410003006
Address ID
OR971234246HI335XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for KIEU HERNANDEZ (AGACNP-BC)

  • 2140 S IVY ST

    CORNELIUS, OR 971137359

    Phone: (832) 589-2530

    Type: Mailing

  • 1200 NE 48TH AVE STE 1100

    HILLSBORO, OR 971245062

    Phone: (503) 494-6400

    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: 2025-04-10

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
I20250410003006INurse PractitionerORTBD

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 97113)

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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: 7416173414View full group profile
NameSpecialtyState
Internal Medicine, Sleep MedicineNC
P A T H O L O G YOR
Nurse PractitionerOR
Internal MedicineNY
Family PracticeOR
Internal MedicineNJ
Emergency MedicineCA
Cardiovascular Disease (Cardiology)OR
Diagnostic RadiologyOR
O B S T E T R I C S/ G Y N E C O L O G YOR

Reviews

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Frequently asked questions

What federal number belongs to KIEU HERNANDEZ (AGACNP-BC)?
The federal identifier for KIEU HERNANDEZ (AGACNP-BC) is NPI 1659194785.
Is KIEU HERNANDEZ (AGACNP-BC) active in the national directory?
KIEU HERNANDEZ (AGACNP-BC)'s public NPI profile is in an active state.
What kind of provider is KIEU HERNANDEZ (AGACNP-BC)?
The page reflects Nurse Practitioner for KIEU HERNANDEZ (AGACNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for KIEU HERNANDEZ (AGACNP-BC)?
The page summarizes Cornelius, Oregon for KIEU HERNANDEZ (AGACNP-BC); expand the address list for detail.
What if Cornelius, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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