Michelle Angel Hernandez Roman, APRN - Medicare Nurse Practitioner in Rock Hill, SC

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Michelle Angel Hernandez Roman, APRN is a medicare enrolled "Nurse Practitioner - Family" in Rock Hill, South Carolina. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Video Virtual Care, Pllc, Minuteclinic Diagnostic South Carolina Llc and her current practice location is 2707 Celanese Rd, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 366-4157.

Michelle Angel Hernandez Roman is licensed to practice in South Carolina (license number 24147) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104417708.

Contact Information

Michelle Angel Hernandez Roman, APRN
2707 Celanese Rd,
Rock Hill, SC 29732-9406
(803) 366-4157
Not Available

Map and Direction




Provider's Profile

Full NameMichelle Angel Hernandez Roman
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location2707 Celanese Rd, Rock Hill, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michelle Angel Hernandez Roman graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1104417708
  • Provider Enumeration Date: 01/27/2021
  • Last Update Date: 10/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5395139679
  • Enrollment ID: I20220302002113

Medical Identifiers

Medical identifiers for Michelle Angel Hernandez Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104417708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 003908 (Georgia)Secondary
363LF0000XNurse Practitioner - Family 24147 (South Carolina)Primary
363LF0000XNurse Practitioner - Family 10031433 (Massachusetts)Secondary
363LF0000XNurse Practitioner - Family 26NJ15415800 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family 203110 (North Dakota)Secondary
363LF0000XNurse Practitioner - Family 0040460 (Ohio)Secondary
363LF0000XNurse Practitioner - Family 11531023 (New Hampshire)Secondary
363LF0000XNurse Practitioner - Family LG-0013308 (Delaware)Secondary
363LF0000XNurse Practitioner - Family 12.015197 (Connecticut)Secondary
363LF0000XNurse Practitioner - Family 11041505 (Florida)Secondary
363LF0000XNurse Practitioner - Family 5384712022 (Kansas)Secondary
363LF0000XNurse Practitioner - Family 02354 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 008048 (Maryland)Secondary
363LF0000XNurse Practitioner - Family 4044850 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family 251452 (Maine)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Video Virtual Care, Pllc014365041646
Minuteclinic Diagnostic South Carolina Llc852712686189

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. Michelle Angel Hernandez Roman allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic South Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447420815
PECOS PAC ID: 8527126861
Enrollment ID: O20081015000409
Entity NameMinuteclinic Video Virtual Care, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316402746
PECOS PAC ID: 0143650416
Enrollment ID: O20200507003000

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. Michelle Angel Hernandez Roman 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
Michelle Angel Hernandez Roman, APRN
2707 Celanese Rd,
Rock Hill, SC 29732-9406

Ph: (803) 366-4157		Michelle Angel Hernandez Roman, APRN
2707 Celanese Rd,
Rock Hill, SC 29732-9406

Ph: (803) 366-4157

Reviews and Comments


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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.