Rose M. Hernandez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0265336 Issued in IL

Practice address

1 University Ave
Bourbonnais, IL 60914-2345

Phone

(815) 939-5011

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Swan Primary Care PLLCGroup PAC ID 1951717016, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Resilience Home Health, LLC Home health agency, Aurora, IL, CCN 147998
• Northwest Home Health & Rehab Home health agency, Lake in the Hills, IL, CCN 147824
• Alc Home Health Care Inc Home health agency, Elmhurst, IL, CCN 147911
• Advancare Healthcare Services Home health agency, Lombard, IL, CCN 147814
• Suncrest Hospice Illinois LLC Hospice, Northbrook, IL, CCN 141696

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23850/brand/1/csg/1/fhir/r4
• Direct secure messaging: rose.hernandez.1@23850.direct.athenahealth.com

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.

• Swan Primary Care PLLC

  • Internal Medicine Physician
  • Bloomingdale, IL
  • NPI 1376137083
  Medicare reassignment Care Compare group NPD
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  Medicare reassignment NPD

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

• Advancare Healthcare Services LLC

  • Home Health Agency
  • Oak Brook, IL
  • NPI 1548299654
  Care Compare affiliation
• Alc Home Health Care, Inc.

  • Home Health Agency
  • Oak Brook, IL
  • NPI 1023047750
  Care Compare affiliation
• Northwest Home Health Care & Rehabilitation, Inc.

  • Home Health Agency
  • Lake in the Hills, IL
  • NPI 1538241831
  Care Compare affiliation
• Resilience Home Health, LLC

  • Home Health Agency
  • Aurora, IL
  • NPI 1912107517
  Care Compare affiliation
• Suncrest Hospice Illinois LLC

  • Community Based Hospice Care Agency
  • Northbrook, IL
  • NPI 1003340050
  Care Compare affiliation

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1699337329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 GLEN ELLYN RD APT 206",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082804",
            "telephone_number": "630-210-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY AVE",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142345",
            "telephone_number": "815-939-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ROSE",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "0265336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Joints, Inc.
• Helping Hands of Hope Counseling Services, LLC
• Helping Hands of Hope Counseling Services, LLC
• Henderson Chiropractic, S.C.
• Gary Henderson, D.C.
• Alex Herskovic, M.D.
• Rhea A Hespen, MPT
• Michelle Hessler, MSA, LCSW
• High Vibes on High Times
• Highland Park CVS LLC

• Family Nurse Practitioner in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.

Verify at the official NPI Registry.