Individual provider Active NPI

Monica Lee Hernandez, AGNP-C

  • Nurse Practitioner
  • North Ridgeville, OH
National Provider Identifier
1205682143
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0036295 Issued in OH
Practice address
7228 Kenssington Dr
North Ridgeville, OH 44039-3161
Phone
(440) 521-2396
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0036295 OH Primary

Addresses

Primary practice location

7228 Kenssington Dr
North Ridgeville, OH 44039-3161

Mailing address

7228 Kenssington Dr
North Ridgeville, OH 44039-3161
Phone (440) 521-2396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240723004042 OH Practitioner - Nurse Practitioner 9234675570 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Primary CareGroup PAC ID 2860769478, 7 clinicians
Cornerstone Nurse Practitioners of Ohio LLCGroup PAC ID 0840607008, 13 clinicians

Practice addresses (Care Compare)

1730 W 25TH St
Suite 1200
Cleveland, OH 44113-3108
Phone (216) 363-2207

98 S 30TH St
Newark, OH 43055-1940
Phone (740) 344-0303

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0036295OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Primary Care CurrentSince Jun 1, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 11, 2024 Accepting new patients
Cornerstone Nurse Practitioners of Ohio LLC Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients

Locations

1730 W 25th St
Ste 1200
Cleveland, OH 44113
Phone (216) 363-2207

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

98 S 30th St
Newark, OH 43055
Phone (740) 344-0303

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1205682143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 KENSSINGTON DR",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393161",
            "telephone_number": "440-521-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7228 KENSSINGTON DR",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393161",
            "telephone_number": "440-521-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MONICA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0036295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

Verify at the official NPI Registry.