Individual provider Active NPI

Otniel Hernandez, DNP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1003000720
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3081082 Issued in FL
Practice address
43 Barkley Cir Ste 201
Fort Myers, FL 33907-7518
Phone
(239) 603-7303
Fax
(239) 603-7107
NPI assigned
Sep 6, 2007
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012043 NC
Family Nurse Practitioner 363LF0000X ARNP3081082 FL Primary

Addresses

Primary practice location

43 Barkley Cir Ste 201
Fort Myers, FL 33907-7518

Mailing address

1525 Junior CT
Lehigh Acres, FL 33971-2045
Phone (305) 833-4707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071227000001 FL Practitioner - Nurse Practitioner 3870683139 Reassigns benefits to 4 organizations
I20190918000212 TX Practitioner - Nurse Practitioner 3870683139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP3081082FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Mar 1, 2023 Accepting new patients
DHHS IHS Phoenix CurrentSince Jul 7, 2019 Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Jan 13, 2015 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Mar 1, 2023 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Mar 1, 2023 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Jun 24, 2010 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Mar 1, 2023 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Jun 24, 2010 Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

200 NW 7th Ave
Ft Lauderdale, FL 33311
Phone (954) 355-5110

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • FHIR API: https://epicproxy.et0798.epichosted.com/APIProxyPRD/api/FHIR/R4/
  • Direct secure messaging: otniel.hernandez.1@14940.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1003000720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 JUNIOR CT",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339712045",
            "telephone_number": "305-833-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BARKLEY CIR STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077518",
            "telephone_number": "239-603-7303",
            "fax_number": "239-603-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "OTNIEL",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012043",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3081082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.