NPIMap

Individual provider Active NPI

Christian Hernandez Nazario, M.D.

  • General Practice Physician
  • Wewahitchka, FL
National Provider Identifier
1184877235
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1156 Issued in FL
Practice address
255 W River Rd
Wewahitchka, FL 32465-4533
Phone
(850) 639-5828
Fax
(850) 639-5536
NPI assigned
Nov 1, 2008
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17375 PR
General Practice Physician 208D00000X ACN1156 FL Primary

Addresses

Primary practice location

255 W River Rd
Wewahitchka, FL 32465-4533

Mailing address

HC 3 Box 29242-12
Aguada, PR 00602-9740
Phone (787) 219-2432

Other identifiers 1

IdentifierTypeStateIssuer
103209200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100223000474 PR Practitioner - General Practice 6901940360 Practice locations: Carolina, PR
I20190725002982 FL Practitioner - General Practice 6901940360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1328 Coastal Hwy
Panacea, FL 32346-2151
Phone (850) 984-4735

255 W River Rd
Wewahitchka, FL 32465-4533
Phone (850) 639-5828

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Medical Centers, Inc Current Accepting new patients
North Florida Medical Centers, Inc. Current Accepting new patients
North Florida Medical Centers Inc CurrentSince Jun 17, 2019 Accepting new patients
North Florida Medical Centers Inc Past Accepting new patients

Locations

1328 Coastal Hwy
Panacea, FL 32346
Phone (850) 984-4735

2804 Remington Green Cir
Ste 2
Tallahassee, FL 32308

255 W River Rd
Wewahitchka, FL 32465
Phone (850) 639-5828

Interoperability endpoints

  • Direct secure messaging: christian.hernandeznazario@nfmc.eclinicaldirectplus.com

Organizations & group practices 4

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 4

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": "1225497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1184877235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 29242-12",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029740",
            "telephone_number": "787-219-2432",
            "fax_number": "787-993-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W RIVER RD",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324654533",
            "telephone_number": "850-639-5828",
            "fax_number": "850-639-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ NAZARIO",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-01",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17375",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103209200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wewahitchka, FL

Sources for this page

Verify at the official NPI Registry.