Andrew Nicholas Hernandez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

815 Campus Dr
Joliet, IL 60435-8573

Phone

(630) 857-6883

NPI assigned

Apr 24, 2023

Sex

Male

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

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Pain Management SCGroup PAC ID 2466427158, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Integrated Pain Management SC

  • Pain Medicine (Anesthesiology) Physician
  • Lombard, IL
  • NPI 1447290713
  Medicare reassignment Care Compare group
• Medworks Joliet Corp

  • Pain Medicine (Anesthesiology) Physician
  • Joliet, IL
  • NPI 1932426285
  Medicare reassignment NPD
• Insight Chicago, Inc.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1881261006
  Medicare reassignment
• Integrated Pain Management SC

  • Non-Pharmacy Dispensing Site
  • Arlington Heights, IL
  • NPI 1639928096
  NPD
• Logan Multispecialty Clinic S C

  • Internal Medicine Physician
  • Burr Ridge, IL
  • NPI 1770015836
  NPD

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1962199539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 WINDSOR DR APT 208",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605326204",
            "telephone_number": "630-857-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CAMPUS DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358573",
            "telephone_number": "630-857-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANDREW",
        "middle_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Terese C Henning, LPC, NCC
• Nicole Marie Hennings, OTR/L
• Paulina Joanna Henry
• Kamryn Hensley, OTR/L
• Ryan Heraty
• Patricia Hernandez, LCSW, ICDVP
• Matthew Herring, P.T., D.P.T.
• Melvin Herring, LCSW
• Tamir Y Hersonskey, M.D.
• John K Hertko, DC

• Physician Assistant in Joliet, IL
• Providers in Joliet, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.