Mary Carmen Hernandez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1026 SE Federal Hwy
Stuart, FL 34994-3821

Phone

(772) 210-2447

Fax

(772) 261-4028

NPI assigned

Jul 31, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles (1 of 2)

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mary.hernandez.1@30104.direct.athenahealth.com

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.

• Mobile Anesthesia Associates LLC

  • Pain Medicine (Anesthesiology) Physician
  • Stuart, FL
  • NPI 1295776243

  FL

  Medicare reassignment
• Baptist Surgery and Endoscopy Centers LLC

  • Ambulatory Surgical Clinic/Center
  • West Palm Beach, FL
  • NPI 1407227358
  NPD

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1235968835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943821",
            "telephone_number": "772-210-2447",
            "fax_number": "772-261-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943821",
            "telephone_number": "772-210-2447",
            "fax_number": "772-261-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARY",
        "middle_name": "CARMEN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estefania Hernandez
• Jamilah Giselle Hernandez
• Joshua Hernandez
• Julissa Maria Hernandez
• Laurent Hernandez
• Rowan Summer Hernandez I, RBT
• Yessica Hernandez
• Heroes for ABA Services Inc.
• Lismore Burton Heron, MD
• Molly Herrell

• All providers in Stuart, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.