Active NPI
Roberto Hernandez, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11005657
- Practice address
- 3769 SE Milwaukie Ave
Portland, OR 97202-3804 - Phone
- (305) 497-0272
- NPI assigned
- Jan 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11005657 | FL | Primary |
| Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0810X | APRN11005657 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202006086NP-PP | OR |
Addresses
Primary practice location
3769 SE Milwaukie Ave
Portland, OR 97202-3804
Mailing address
10051 SW 46TH St
Miami, FL 33165-5709
Phone (305) 497-0272
Other practice location 1
1700 SW 257th Ave
Troutdale, OR 97060-1900
Phone (503) 669-6800
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 84.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11005657 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 202006086NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summerskyy Health, LLC | Current | Accepting new patients | |
| Florida Behavioral Center, Inc | Single Specialty | Current | Accepting new patients |
| Navarro County Ambulatory Care Association | Single Specialty | Current | Accepting new patients |
| Corsicana-Navarro County Public Health District | Current | Accepting new patients | |
| Cye Ga LLC | Single Specialty | Current | Accepting new patients |
| Tmo Medical and Rehab | Single Specialty | Past | Accepting new patients |
Locations
3501 Del Prado Blvd S
Ste 303
Cape Coral, FL 33904
Phone (239) 317-0265
618 N Main St
Corsicana, TX 75110
Phone (903) 874-6711
2626 S Loop W
Ste 435
Houston, TX 77054
Phone (281) 936-0047
2626 S Loop W
Ste 415
Houston, TX 77054
Phone (281) 936-0047
Interoperability endpoints
- roberto.hernandez@wwmp.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Corsicana, TX
- NPI 1124782875
Single Specialty
-
- Adult Mental Health Clinic/Center
- Miami, FL
- NPI 1952009375
-
- State or Local Public Health Clinic/Center
- Corsicana, TX
- NPI 1164467742
-
- Community/Behavioral Health Agency
- Doral, FL
- NPI 1912334863
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1285274530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10051 SW 46TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331655709",
"telephone_number": "305-497-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3769 SE MILWAUKIE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023804",
"telephone_number": "305-497-0272"
}
],
"practiceLocations": [
{
"address_1": "1700 SW 257th Ave",
"address_purpose": "LOCATION",
"city": "Troutdale",
"state": "OR",
"postal_code": "970601900",
"country_code": "US",
"telephone_number": "503-669-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "ROBERTO",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-14",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11005657",
"primary": true
},
{
"code": "364SP0810X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
"state": "FL",
"license": "APRN11005657",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "202006086NP-PP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.