Individual provider Active NPI

Edward Manuel Hernandez, APRN

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1023786670
Registry record updated Feb 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014757 Issued in FL
Practice address
3143 NE 163Rd St
North Miami Beach, FL 33160-4463
Phone
(305) 343-1365
NPI assigned
Aug 31, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11014757 FL Primary

Addresses

Primary practice location

3143 NE 163Rd St
North Miami Beach, FL 33160-4463

Mailing address

3143 NE 163Rd St
North Miami Beach, FL 33160-4463
Phone (305) 343-1365

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ehernandezt@outlook.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220708003616 FL Practitioner - Nurse Practitioner 8820478704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Health Consulting Associates, LLCGroup PAC ID 9234435876, 3 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

3143 NE 163Rd St
North Miami Beach, FL 33160-4463
Phone (305) 343-1365

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014757FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Surgical Inc CurrentSince Aug 19, 2022 Accepting new patients
VHW Medical Group LLC CurrentSince Oct 19, 2022 Accepting new patients
Health Consulting Associates LLC CurrentSince Aug 19, 2022 Accepting new patients

Locations

848 Brickell Ave
Ste 210
Miami, FL 33131
Phone (305) 377-0017

21150 Biscayne Blvd
Ste 406
Miami, FL 33180

3143 NE 163rd St
North Miami Beach, FL 33160
Phone (305) 343-1365

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675468800000",
    "number": "1023786670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604463",
            "telephone_number": "305-343-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604463",
            "telephone_number": "305-343-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "EDWARD",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ehernandezt@outlook.com",
            "affiliation": "N",
            "address_1": "15665 Miami Lakeway N Apt 107A",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330142171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.