Individual provider Active NPI

Amanda Michele Hernandez, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1023600236
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14269 Issued in TX
Practice address
4749 Fredericksburg Rd Ste a
San Antonio, TX 78229-4465
Phone
(210) 997-8630
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14269 TX Primary

Addresses

Primary practice location

4749 Fredericksburg Rd Ste a
San Antonio, TX 78229-4465

Mailing address

540 Madison Oak Dr Ste 600
San Antonio, TX 78258-3924
Phone (972) 345-7545

Other practice location 1

540 Madison Oak Dr Ste 600
San Antonio, TX 78258-3924
Phone (430) 477-3362 ext. 73362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 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
I20210303000865 TX Practitioner - Physician Assistant 6204242050 Reassigns benefits to 2 organizations
I20260413001157 MO Practitioner - Physician Assistant 6204242050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical School at San Antonio, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
James Cole Physiatry LLCGroup PAC ID 3870976582, 15 clinicians

Practice addresses (Care Compare)

Austin, TX 78731
Phone (314) 920-8933

2351 Frank Scott Pkwy E
O Fallon, IL 62269-7457
Phone (314) 920-8933

4455 Duncan Ave
Saint Louis, MO 63110-1111
Phone (314) 920-8933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14269TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medberry Health PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1023600236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MADISON OAK DR STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583924",
            "telephone_number": "972-345-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 FREDERICKSBURG RD STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294465",
            "telephone_number": "210-997-8630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Madison Oak Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583924",
            "country_code": "US",
            "telephone_number": "430-477-3362 x73362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "AMANDA",
        "middle_name": "MICHELE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.