NPIMap

Individual provider Active NPI

Sandra Hernandez, NP

  • Acute Care Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1033429212
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
696817 Issued in TX
Practice address
6200 I-40 W
Amarillo, TX 79106-2512
Phone
(806) 354-9764
Fax
(806) 355-2728
NPI assigned
Oct 20, 2010
Last updated
Apr 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 696817 TX Primary

Addresses

Primary practice location

6200 I-40 W
Amarillo, TX 79106-2512

Mailing address

6200 I-40 W
Amarillo, TX 79106-2512
Phone (806) 354-9764

Other identifiers 1

IdentifierTypeStateIssuer
217391601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000247 TX Practitioner - Nurse Practitioner 4284821729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Center of AmarilloGroup PAC ID 9234036013, 14 clinicians

Practice addresses (Care Compare)

6200 W Interstate 40
Amarillo, TX 79106-2512
Phone (806) 354-9764

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
696817TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Center of Amarillo CurrentSince Nov 10, 2010 Accepting new patients
Cca Cath Lab LLC Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

6200 W Interstate 40
Amarillo, TX 79106
Phone (806) 354-9764

6707 Wolflin Ave
Ste 400
Amarillo, TX 79106
Phone (806) 354-9764

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sandra.hernandez.p41@direct.ccallp.nextgenshare.com
  • Direct secure messaging: shernandez88137@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1033429212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 I-40 W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062512",
            "telephone_number": "806-354-9764",
            "fax_number": "806-355-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 I-40 W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062512",
            "telephone_number": "806-354-9764",
            "fax_number": "806-355-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SANDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "696817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217391601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.