Individual provider Active NPI

Mary L Hernandez, CPNP-PC

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1225735889
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1108657 Issued in TX
Practice address
3122 Woodmoor St
San Antonio, TX 78249-0000
Phone
(210) 215-7139
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1108657 TX Primary

Addresses

Primary practice location

3122 Woodmoor St
San Antonio, TX 78249-0000

Mailing address

3122 Woodmoor St
San Antonio, TX 78249-0000
Phone (210) 215-7139

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
I20230522001044 TX Practitioner - Nurse Practitioner 8123484920 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1108657TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro del Barrio, Inc. CurrentSince Mar 27, 2023 Accepting new patients
El Centro del Barrio, Inc. CurrentSince Mar 27, 2023 Accepting new patients

Locations

3327 Research Plz
Ste 307
San Antonio, TX 78235
Phone (210) 337-2100

3750 Commercial Ave
San Antonio, TX 78221
Phone (210) 334-3700

6315 S Zarzamora St
San Antonio, TX 78211
Phone (210) 924-9254

Interoperability endpoints

  • Direct secure messaging: mary.hernandez.p1@direct.centromed.nextgenshare.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1225735889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 WOODMOOR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782490000",
            "telephone_number": "210-215-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 WOODMOOR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782490000",
            "telephone_number": "210-215-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1108657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.