Grissa Sandoy Hermoso, AGACNP-BC
Individual provider Active NPI Acute Care Nurse Practitioner · Clyde, TX
NPI 1225812852 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1225812852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 1132704 (TX)
- Practice address
- 216 Kennedy St
Clyde, TX 79510-4406 - Phone
- (325) 386-5103
- NPI assigned
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arlington Physician Services PA
Practice addresses (Care Compare)
1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000
Hospital & facility affiliations
- Hendrick Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.64 of 100
- Quality
- 76.13
- Improvement activities
- 40
- Cost
- 69.23
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231206000911 | TX | Practitioner - Nurse Practitioner | 7618326471 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Medical PC | Multi-Specialty | Current |
Accepting new patients |
| Arlington Physician Services PA | Multi-Specialty | Current |
Accepting new patients |
Locations
250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173
250 Skillman St
Ste 202
Brooklyn, NY 11205
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140
15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668
424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431
8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner |
363LA2100X | 1132704 | TX | Yes |
Addresses
Primary practice location
216 Kennedy St
Clyde, TX 79510-4406
Mailing address
216 Kennedy St
Clyde, TX 79510-4406
Phone (325) 386-5103
Other providers in Clyde, TX
- Shayla R Fine
- April Gail Fisher
- Martin D Gonzalez
- Vicki Melissa Graham
- Dejah M Harris
- Amy Hodge
- Pamela Keith
- Kaylin Lee
- Seth Lee
- Ada Melder
All providers in Clyde, TX · Acute Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.