Denice Hernandez, APN - Medicare Nurse Practitioner in Summit, NJ

Denice Hernandez, APN is a medicare enrolled "Nurse Practitioner - Adult Health" in Summit, New Jersey. Her current practice location is 11 Overlook Rd Ste 140, Summit, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 277-0050.

Denice Hernandez is licensed to practice in New Jersey (license number 26NJ14958600) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467220251.

Contact Information

Denice Hernandez, APN
11 Overlook Rd Ste 140,
Summit, NJ 07901-3577
(908) 277-0050
Not Available

Map and Direction




Provider's Profile

Full NameDenice Hernandez
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location11 Overlook Rd Ste 140, Summit, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467220251
  • Provider Enumeration Date: 12/12/2023
  • Last Update Date: 02/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092150144
  • Enrollment ID: I20240228001788

Medical Identifiers

Medical identifiers for Denice Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467220251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 26NJ14958600 (New Jersey)Secondary
363LA2200XNurse Practitioner - Adult Health 26NJ14958600 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Denice Hernandez allows following entities to bill medicare on her behalf.
Entity NamePrimary Care Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083900526
PECOS PAC ID: 2860665809
Enrollment ID: O20111108000032

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Denice Hernandez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Denice Hernandez, APN
Po Box 95000 Lb#75000,
Philadelphia, PA 19195-3577

Ph: (844) 362-1735
Denice Hernandez, APN
11 Overlook Rd Ste 140,
Summit, NJ 07901-3577

Ph: (908) 277-0050

Reviews and Comments


Nurse Practitioner Nurses in Summit, NJ

Cynthia E Cross,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 99 Beauvoir Ave, Summit, NJ 07901
Phone: 973-971-5595    
Elfie Wegner, RN P
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Medicare: Accepting Medicare Assignments
Practice Location: 33 Overlook Rd, Summit, NJ 07901
Phone: 973-971-7184    
Ms. Danielle Knight, APN-C
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Medicare: Accepting Medicare Assignments
Practice Location: 11 Overlook Road, Mac Ii Building, Suite Ll 101, Summit, NJ 07901
Phone: 908-522-5900    Fax: 908-522-5544
Darnell Hassan Stith Jr., APN
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Medicare: Medicare Enrolled
Practice Location: 99 Beauvoir Ave, Summit, NJ 07901
Phone: 908-522-2000    
Amy Lynne Ishak, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 99 Beauvoir Ave, Summit, NJ 07901
Phone: 908-522-5310    
Sarah Barnett, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Springfield Ave, Pulmonary And Allergy Associates, Summit, NJ 07901
Phone: 908-934-0555    Fax: 908-934-0558
Jennifer Lillian O'neill,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 33 Overlook Rd Ste 201, Summit, NJ 07901
Phone: 908-522-5040    Fax: 908-522-5041

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.