Individual provider Active NPI

Stephanie D Hernandez, AGNP

  • Nurse Practitioner
  • Planada, CA
National Provider Identifier
1003380452
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010896 Issued in CA
Practice address
9235 E Broadway St
Planada, CA 95365-8088
Phone
(209) 382-0253
Fax
(209) 382-2110
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 729012 CA
Adult Health Nurse Practitioner 363LA2200X 95010896 CA
Nurse Practitioner 363L00000X 95010896 CA Primary

Addresses

Primary practice location

9235 E Broadway St
Planada, CA 95365-8088

Mailing address

344 E 6TH St
Madera, CA 93638-3631
Phone (559) 664-4000

Other practice location 1

13161 Jefferson St
Le Grand, CA 95333-9766
Phone (866) 682-4842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190422001925 CA Practitioner - Nurse Practitioner 2668714734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camarena HealthGroup PAC ID 4880584317, 79 clinicians

Practice addresses (Care Compare)

344 E 6TH St
Madera, CA 93638-3631
Phone (559) 664-4000

720 E Almond Ave
Madera, CA 93637-5691
Phone (559) 664-4000

Hospital & facility affiliations

  • Granite Ridge Home Health Care Home health agency, Fresno, CA, CCN 559248
  • Madera Community Hospital Hospital, Madera, CA, CCN 050856

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15141CAMDProfessional Counselor
729012CAMDRegistered Nurse
95010896CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health Current Accepting new patients
Camarena Health CurrentSince Jun 20, 2025 Accepting new patients
Camarena Health CurrentSince Jun 20, 2025 Accepting new patients

Locations

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

720 E Almond Ave
Madera, CA 93637
Phone (559) 673-5921

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1003380452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E 6TH ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383631",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 E BROADWAY ST",
            "city": "PLANADA",
            "state": "CA",
            "postal_code": "953658088",
            "telephone_number": "209-382-0253",
            "fax_number": "209-382-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13161 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Le Grand",
            "state": "CA",
            "postal_code": "953339766",
            "country_code": "US",
            "telephone_number": "866-682-4842",
            "fax_number": "877-436-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "729012",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95010896",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Planada, CA

Sources for this page

Verify at the official NPI Registry.