Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Nicole Hernandez, PA

Individual provider Physician Assistant · NPI 1760236020

Heather Nicole Hernandez, PA is a Physician Assistant in Roseburg, Oregon. Graduated from Yale University School of Medicine in 2024, 2 years ago. Practices with Centennial Medical Group East LLC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Trained at
Yale University School of Medicine
Licensed in
OR
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2570 NW Edenbower Blvd
Roseburg, OR 97471-6214
Phone: (541) 733-5403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 Cedar St, New Haven, CT 06510-3206 — (541) 733-5403

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA219551 (OR)

Record details

NPI number1760236020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Centennial Medical Group East Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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