Individual provider Active NPI

Cennia Nicole Hernandez, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1306275037
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9656 Issued in AZ
Practice address
1775 W Saint Marys Rd Ste 116
Tucson, AZ 85745-2662
Phone
(520) 293-5757
Fax
(520) 293-7358
NPI assigned
Nov 4, 2013
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9656 AZ Primary

Addresses

Primary practice location

1775 W Saint Marys Rd Ste 116
Tucson, AZ 85745-2662

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

8290 S Houghton Rd Ste 190
Tucson, AZ 85747-9726
Phone (520) 293-5757

Other practice location 2

2295 E Vistoso Commerce Loop
Oro Valley, AZ 85755-9182
Phone (520) 293-5757

Other practice location 3

1595 E River Rd Ste 151
Tucson, AZ 85718-5981
Phone (520) 293-5757

Other practice location 4

1595 E River Rd Ste 101
Tucson, AZ 85718-5982
Phone (520) 293-5757

Other practice location 5

1595 E River Rd Ste 201
Tucson, AZ 85718-5984
Phone (520) 293-5757

Other practice location 6

5190 E Farness Dr Ste 110
Tucson, AZ 85712-2142
Phone (520) 293-5757

Other practice location 7

18855 S la Canada Dr
Sahuarita, AZ 85629-8004
Phone (520) 293-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230523000976 AZ Practitioner - Physician Assistant 7012373798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheftel and Associates Dermatology LLPGroup PAC ID 7911990304, 18 clinicians
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1595 E River Rd
Suite 201
Tucson, AZ 85718-5984
Phone 52029357577141

1775 W Saint Marys Rd
Suite 116
Tucson, AZ 85745-2662
Phone (520) 293-5757

Merit-based Incentive Payment System (MIPS)

Final score
79.17 of 100Reported as group
Quality
64.43
Promoting interoperability
84
Improvement activities
40
Cost
79.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Dec 16, 2025 Accepting new patients
Arizona Associates in Dermatology and Cosmetic Surgery, LLC Current Accepting new patients
Forefront Dermatology SC CurrentSince Dec 16, 2025 Accepting new patients
Center for Adult Medicine and Preventive Care, PC Past Accepting new patients

Locations

2295 E Vistoso Commerce Loop
Oro Valley, AZ 85755
Phone 5202935757 ext. 7143

2820 N Glassford Hill Rd
Ste 107
Prescott Vly, AZ 86314
Phone (928) 772-8553

18855 S La Canada Dr
Sahuarita, AZ 85629
Phone 52029357577141

1595 E River Rd
Ste 101
Tucson, AZ 85718
Phone (520) 299-1736

1595 E River Rd
Ste 151
Tucson, AZ 85718

1595 E River Rd
Ste 201
Tucson, AZ 85718
Phone 52029357577141

1775 W Saint Marys Rd
Ste 116
Tucson, AZ 85745
Phone (520) 624-2471

5190 E Farness Dr
Ste 110
Tucson, AZ 85712
Phone (520) 327-4442

8290 S Houghton Rd
Ste 190
Tucson, AZ 85747

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16835/brand/1/csg/1/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.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1306275037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 W SAINT MARYS RD STE 116",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452662",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8290 S HOUGHTON RD STE 190",
            "address_purpose": "LOCATION",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479726",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2295 E VISTOSO COMMERCE LOOP",
            "address_purpose": "LOCATION",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857559182",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1595 E RIVER RD STE 151",
            "address_purpose": "LOCATION",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185981",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1595 E RIVER RD STE 101",
            "address_purpose": "LOCATION",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185982",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1595 E RIVER RD STE 201",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857185984",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5190 E FARNESS DR STE 110",
            "address_purpose": "LOCATION",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122142",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18855 S LA CANADA DR",
            "address_purpose": "LOCATION",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298004",
            "country_code": "US",
            "telephone_number": "520-293-5757",
            "fax_number": "520-293-7358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CENNIA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.