Shane C Hernesman MD PA
NPI 1164545620ActiveOrganization· Family Medicine· Cocoa, FL
Family Medicine in Cocoa, Florida, registered in NPPES in April 2007. The authorized official on file is Shane C. Hernesman, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164545620 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | ME83457 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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