Individual provider Active NPI

Yenmy Hernandez Hernandez

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1083341622
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08220051 Issued in FL
Practice address
9440 SW 8TH St Apt 212
Boca Raton, FL 33428-6875
Phone
(908) 410-4655
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 F08220051 FL Primary

Addresses

Primary practice location

9440 SW 8TH St Apt 212
Boca Raton, FL 33428-6875

Mailing address

9440 SW 8TH St Apt 212
Boca Raton, FL 33428-6875
Phone (908) 410-4655

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
I20220926003069 FL Practitioner - Nurse Practitioner 7517343767 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F08220051FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC CurrentSince Mar 3, 2023 Accepting new patients

Locations

9878 Clint Moore Rd
Boca Raton, FL 33496

9970 Central Park Blvd N
Ste 205
Boca Raton, FL 33428
Phone (561) 487-1203

8130 Royal Palm Blvd
Ste 205
Coral Springs, FL 33065
Phone (954) 340-1500

1363 S Military Trl
Deerfield Beach, FL 33442
Phone (954) 570-7270

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Interoperability endpoints

  • Direct secure messaging: yenmy.hernandez.hernandez.1@32578.direct.athenahealth.com

Organizations & group practices 1

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1083341622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 SW 8TH ST APT 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286875",
            "telephone_number": "908-410-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 SW 8TH ST APT 212",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286875",
            "telephone_number": "908-410-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "YENMY",
        "middle_name": "HERNANDEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F08220051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.