Individual provider Active NPI

Paola Andrea Hernandez, APRN

  • Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1275111734
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11007372 Issued in FL
Practice address
8245 Balm St
Spring Hill, FL 34607
Phone
(352) 688-2700
Fax
(352) 688-0300
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11007372 FL Primary

Addresses

Primary practice location

8245 Balm St
Spring Hill, FL 34607

Mailing address

8245 Balm St
Spring Hill, FL 34607
Phone (352) 688-2700

Other practice location 1

1201 5th Ave N Ste 402
St Petersburg, FL 33705-1425
Phone (727) 521-0994

Other names 1

  • Paola Dickson Former name

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
I20210428000700 FL Practitioner - Nurse Practitioner 5092123240 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Le Advanced GastroenterologyGroup PAC ID 4284980368, 3 clinicians

Practice addresses (Care Compare)

8425 Balm St
Weeki Wachee, FL 34607-4419
Phone (352) 688-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11007372FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists, LLC CurrentSince Jan 9, 2023 Accepting new patients
West Central Gastroenterology LLP CurrentSince Apr 26, 2021 Accepting new patients
Best Value Healthcare LLC CurrentSince Jan 9, 2023 Accepting new patients
Gastro Florida Pharmacy, LLC CurrentSince Apr 6, 2021 Accepting new patients
Florida Medical Specialists LLC CurrentSince Jan 9, 2023 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Dr Le Advanced Gastroenterology Past Accepting new patients

Locations

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

2128 Main St
Dunedin, FL 34698
Phone (727) 736-7733

1162 Alternate Hwy 19
Holiday, FL 34691
Phone (727) 937-3010

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

1201 5th Ave N
Ste 402
St Petersburg, FL 33705
Phone (727) 298-6121

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: pdickson287925@orlandohealth.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1275111734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 BALM ST",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34607",
            "telephone_number": "352-688-2700",
            "fax_number": "352-688-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 BALM ST",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34607",
            "telephone_number": "352-688-2700",
            "fax_number": "352-688-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 5th Ave N Ste 402",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051425",
            "country_code": "US",
            "telephone_number": "727-521-0994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PAOLA",
        "middle_name": "ANDREA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-03-06",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAOLA",
            "last_name": "DICKSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.