Individual provider Active NPI

Andrea Perez, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1023870078
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1145672 Issued in TX
Practice address
11212 State Highway 151
San Antonio, TX 78251-4498
Phone
(210) 703-8000
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 1145672 TX Primary

Addresses

Primary practice location

11212 State Highway 151
San Antonio, TX 78251-4498

Mailing address

5224 75TH St Ste D
Lubbock, TX 79424-2525
Phone (806) 712-1096

Other practice location 1

4602 Averi Nicole
San Antonio, TX 78217-1756
Phone (210) 438-3528

Other practice location 2

2833 Babcock Rd
San Antonio, TX 78229-5390
Phone (210) 705-6300

Other names 1

  • Mrs. Andrea Hernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240214003262 TX Practitioner - Nurse Practitioner 6608210919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians UnityGroup PAC ID 6406014919, 61 clinicians
Panther Inpatient Care PLLCGroup PAC ID 6901080183, 14 clinicians

Practice addresses (Care Compare)

11212 State Hwy 151
Suite 300
San Antonio, TX 78251-4502
Phone (210) 703-8454

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1145672TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Unity Family CurrentSince Feb 9, 2024 Accepting new patients

Locations

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

598 N Union Ave
Ste 335
New Braunfels, TX 78130
Phone (830) 606-9111

11212 State Highway 151
Ste 300
San Antonio, TX 78251
Phone (210) 703-8200

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

2833 Babcock Rd
Ste 110
San Antonio, TX 78229
Phone (210) 692-2000

2833 Babcock Rd
San Antonio, TX 78229
Phone (210) 450-9890

1305 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 353-6430

Organizations & group practices 2

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 1

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": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1023870078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 75TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242525",
            "telephone_number": "806-712-1096",
            "fax_number": "806-771-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "210-703-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4602 Averi Nicole",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782171756",
            "country_code": "US",
            "telephone_number": "210-438-3528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2833 Babcock Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295390",
            "country_code": "US",
            "telephone_number": "210-705-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANDREA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1145672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HERNANDEZ",
            "prefix": "MRS.",
            "credential": "ANDREA HERNANDEZ, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.