Active NPI
Nicholas C Hernandez
- Emergency Medicine Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD60934863
- Practice address
- 209 Martin Luther King Jr Way
Tacoma, WA 98405-4265 - Phone
- (253) 596-3300
- Fax
- (253) 596-3301
- NPI assigned
- Jun 8, 2015
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R75133 | AZ | |
| Emergency Medicine Physician | 207P00000X | MD60934863 | WA | Primary |
Addresses
Primary practice location
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Mailing address
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
Other practice location 1
3950 S Country Club Rd Ste 200
Tucson, AZ 85714-2227
Phone (520) 626-5582
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Emergency Medicine
- Education
- University of Arizona College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 838-9700
Hospital & facility affiliations
- St Anthony Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.29 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R75133 | AZ | MD | Emergency Medicine Physician |
| MD60934863 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Northwest Observation Associates PC | Current | Accepting new patients |
Locations
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Internal Medicine Physician
- Federal Way, WA
- NPI 1023539376
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1811377476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054265",
"telephone_number": "253-596-3300",
"fax_number": "253-596-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054265",
"telephone_number": "253-596-3300",
"fax_number": "253-596-3301"
}
],
"practiceLocations": [
{
"address_1": "3950 S Country Club Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857142227",
"country_code": "US",
"telephone_number": "520-626-5582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "NICHOLAS",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-08",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "R75133",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD60934863",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "209 Martin Luther King Jr Way",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054265",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.