Active NPI
Nicholas Jon Hernandez, MD-PHD
- Anesthesiology Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD225912
- Practice address
- 890 Oak St SE
Salem, OR 97301-3905 - Phone
- (503) 561-5200
- NPI assigned
- Mar 20, 2021
- Sex
- Male
- Sole proprietor
- No
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 | |||
| Anesthesiology Physician | 207L00000X | MD225912 | OR | Primary |
Addresses
Primary practice location
890 Oak St SE
Salem, OR 97301-3905
Mailing address
890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200
Other practice location 1
750 Albany St # 2R
Boston, MA 02118-2520
Phone (617) 638-6975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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
- Anesthesiology
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200
Hospital & facility affiliations
- Salem Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health West Valley | Current | Accepting new patients | |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Boston University Medical Center Anesthesiologists, Inc. | Anesthesiology | Past | Accepting new patients |
Locations
525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344
1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830
Interoperability endpoints
- nhernandez140563@direct.bmc.masshiway.net
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Family Medicine Physician
- Woodburn, OR
- NPI 1578112066
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Anesthesiology Physician
- Boston, MA
- NPI 1952874737
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1285210377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 OAK ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013905",
"telephone_number": "503-561-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 OAK ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973013905",
"telephone_number": "503-561-5200"
}
],
"practiceLocations": [
{
"address_1": "750 Albany St # 2R",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182520",
"country_code": "US",
"telephone_number": "617-638-6975",
"fax_number": "617-638-6959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "NICHOLAS",
"middle_name": "JON",
"credential": "MD-PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-20",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD225912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.