Denice Hernandez, APN
NPI 1467220251 · Adult Health Nurse Practitioner · Summit, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Denice Hernandez, APN is a Adult Health Nurse Practitioner provider in Summit, NJ (NPI 1467220251).
Provider details
- NPI number
- 1467220251
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- 26NJ14958600 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
2 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
288 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 122 | $15 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 94 | $84 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 50 | $84 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 22 | $121 |
Typical Medicare-allowed amounts for these services range $15–$121 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 33 | 19 |
| Atorvastatin Calcium | 31 | 21 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 20 | 20 |
| Levothyroxine Sodium | 18 | 13 |
| Alprazolam | 17 | — |
| Azithromycin | 17 | 17 |
| Cefdinir | 17 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$379 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2024-02-15
- Certified
- 2024-02-15
Frequently asked questions
- What is Denice Hernandez's NPI number?
- Denice Hernandez's National Provider Identifier (NPI) is 1467220251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Denice Hernandez's specialty?
- Denice Hernandez is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Denice Hernandez located?
- Denice Hernandez's practice location on file with NPPES is 11 Overlook Rd Ste 140, Summit, NJ 07901-3577.
- What is Denice Hernandez's phone number?
- The practice phone number listed in the NPPES registry for Denice Hernandez is (908) 277-0050.
- Does Denice Hernandez accept Medicare?
- Denice Hernandez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Denice Hernandez's NPI active?
- Yes — Denice Hernandez's NPI (1467220251) is active in the NPPES registry as of the last update on 2024-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.