Active NPI
Jonathan Robert Hernandez, DO
- Family Medicine Physician
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101028436
- Practice address
- 1234 Napier Ave
Saint Joseph, MI 49085-2112 - Phone
- (269) 982-4941
- NPI assigned
- Apr 5, 2022
- Last updated
- Jun 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 5101028436 | MI | Primary |
Addresses
Primary practice location
1234 Napier Ave
Saint Joseph, MI 49085-2112
Mailing address
1335 Pine Hill CT
Saint Joseph, MI 49085-2830
Phone (269) 207-2082
Other practice location 1
400 Medical Park Dr Ste 200
Watervliet, MI 49098-9225
Phone (269) 463-3600
Other practice location 2
5515 Cleveland Ave Ste 5
Stevensville, MI 49127-9669
Phone (269) 429-9644
Other practice location 3
2002 S 11th St
Niles, MI 49120-4074
Phone (269) 687-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Community Hospital Watervliet
Practice addresses (Care Compare)
2002 S 11TH St
Niles, MI 49120-4074
Phone (269) 687-0200
400 Medical Park Dr
Watervliet, MI 49098-9225
Phone (269) 463-3600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Community Hospital Watervliet | Single Specialty | Current | Accepting new patients |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Single Specialty | Current | Accepting new patients |
| Lakeland Medical Practices | Single Specialty | Current | Accepting new patients |
| Lakeland Community Hospital Watervliet | Single Specialty | Current | Accepting new patients |
| Lakeland Medical Practices | Current | Accepting new patients |
Locations
2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
5515 Cleveland Ave
Ste 5
Stevensville, MI 49127
Phone (269) 429-9644
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
400 Medical Park Dr
Ste 200
Watervliet, MI 49098
Phone (269) 463-4000
460 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3733
460 Medical Park Dr
Ste 200
Watervliet, MI 49098
Interoperability endpoints
- https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Corewell Health Watervliet Hospital Primary Care - Hartford
- Rural Health Clinic/Center
- Hartford, MI
- NPI 1023114741
Single Specialty
-
dba Corewell Health Watervliet Hospital Southwestern Medical Multispecial
- Rural Health Clinic/Center
- Niles, MI
- NPI 1538592753
Single Specialty
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
Single Specialty
-
dba Corewell Health Watervliet Hospital
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1184467607
-
dba Corewell Health Watervliet Hospitals
- Rural Health Clinic/Center
- Watervliet, MI
- NPI 1508924770
Single Specialty
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Watervliet Hospital
- General Acute Care Hospital
- Watervliet, MI
- NPI 1700994845
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1043951718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 PINE HILL CT",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490852830",
"telephone_number": "269-207-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 NAPIER AVE",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490852112",
"telephone_number": "269-982-4941"
}
],
"practiceLocations": [
{
"address_1": "400 Medical Park Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Watervliet",
"state": "MI",
"postal_code": "490989225",
"country_code": "US",
"telephone_number": "269-463-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5515 Cleveland Ave Ste 5",
"address_purpose": "LOCATION",
"city": "Stevensville",
"state": "MI",
"postal_code": "491279669",
"country_code": "US",
"telephone_number": "269-429-9644",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2002 S 11th St",
"address_purpose": "LOCATION",
"city": "Niles",
"state": "MI",
"postal_code": "491204074",
"country_code": "US",
"telephone_number": "269-687-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JONATHAN",
"middle_name": "ROBERT",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101028436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.