Individual provider Active NPI

Michelle Angel Hernandez Roman, APRN

  • Family Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1104417708
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24147 Issued in SC
Practice address
2707 Celanese Rd
Rock Hill, SC 29732-9406
Phone
(803) 366-4157
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 003908 GA
Family Nurse Practitioner 363LF0000X 24147 SC Primary
Family Nurse Practitioner 363LF0000X 10031433 MA
Family Nurse Practitioner 363LF0000X 26NJ15415800 NJ
Family Nurse Practitioner 363LF0000X 203110 ND
Family Nurse Practitioner 363LF0000X 0040460 OH
Family Nurse Practitioner 363LF0000X 11531023 NH
Family Nurse Practitioner 363LF0000X LG-0013308 DE
Family Nurse Practitioner 363LF0000X 12.015197 CT
Family Nurse Practitioner 363LF0000X 11041505 FL
Family Nurse Practitioner 363LF0000X 5384712022 KS
Family Nurse Practitioner 363LF0000X 02354 NC
Family Nurse Practitioner 363LF0000X 008048 MD
Family Nurse Practitioner 363LF0000X 4044850 KY
Family Nurse Practitioner 363LF0000X 251452 ME

Addresses

Primary practice location

2707 Celanese Rd
Rock Hill, SC 29732-9406

Mailing address

2707 Celanese Rd
Rock Hill, SC 29732-9406
Phone (803) 366-4157

Other practice location 1

1054 Cass Ave
Woonsocket, RI 02895-4935
Phone (401) 581-6161

Other names 1

  • Michelle Angel Hernandez Roman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, DC, KS, NJ, RI, GA, NC, NH, CT, ME, OH11 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20220302002113 SC Practitioner - Nurse Practitioner 5395139679 Reassigns benefits to 3 organizations
I20251003001978 DC Practitioner - Nurse Practitioner 5395139679 Reassigns benefits to 1 organization
I20251010000689 KS Practitioner - Nurse Practitioner 5395139679 Reassigns benefits to 1 organization
I20251016004472 NJ Practitioner - Nurse Practitioner 5395139679 Reassigns benefits to 1 organization
I20251103002042 RI Practitioner - Nurse Practitioner 5395139679
I20251103002125 GA Practitioner - Nurse Practitioner 5395139679
I20251105001120 NC Practitioner - Nurse Practitioner 5395139679
I20251201002430 NH Practitioner - Nurse Practitioner 5395139679
I20251203000264 CT Practitioner - Nurse Practitioner 5395139679
I20251203000366 ME Practitioner - Nurse Practitioner 5395139679
I20251203003938 OH Practitioner - Nurse Practitioner 5395139679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic South Carolina LLCGroup PAC ID 8527126861, 113 clinicians
Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians
Minuteclinic Video Virtual Care, PLLCGroup PAC ID 0143650416, 36 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

2707 Celanese Rd
Rock Hill, SC 29732-9406
Phone (866) 389-2727

4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727

698 Fairview Rd
Simpsonville, SC 29680-6708
Phone (866) 389-2727

7955 Tuckerman LN
Rockville, MD 20854-3243
Phone (886) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15197CTMDClinical Social Worker
12.015197CTMDFamily Nurse Practitioner
LG-0013308DEMDFamily Nurse Practitioner
11041505FLMDFamily Nurse Practitioner
003908GAMDFamily Nurse Practitioner
5384712022KSMDFamily Nurse Practitioner
4044850KYMDFamily Nurse Practitioner
10031433MAMDFamily Nurse Practitioner
008048MDMDFamily Nurse Practitioner
251452MEMDFamily Nurse Practitioner
203110NDMDFamily Nurse Practitioner
11531023NHMDFamily Nurse Practitioner
26NJ15415800NJMDFamily Nurse Practitioner
0040460OHMDFamily Nurse Practitioner
24147SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Sep 30, 2025 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Nov 19, 2025 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Nov 23, 2021 Accepting new patients
Minuteclinic Primary Care South Carolina LLC Family CurrentSince Sep 17, 2025 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince May 21, 2023 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Sep 30, 2025 Accepting new patients

Locations

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

8995 University Blvd
North Charleston, SC 29406
Phone (843) 410-0701

2707 Celanese Rd
Rock Hill, SC 29732
Phone (803) 366-4157

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1104417708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329406",
            "telephone_number": "803-366-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 CELANESE RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329406",
            "telephone_number": "803-366-4157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1054 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954935",
            "country_code": "US",
            "telephone_number": "401-581-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ ROMAN",
        "first_name": "MICHELLE",
        "middle_name": "ANGEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "003908",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24147",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "10031433",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15415800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "203110",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0040460",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "11531023",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0013308",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.015197",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11041505",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5384712022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "02354",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "008048",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4044850",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "251452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HERNANDEZ ROMAN",
            "middle_name": "ANGEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.