Individual provider Active NPI

Maria E Hernandez, APRN FNP-BC

  • Family Nurse Practitioner
  • Los Lunas, NM
National Provider Identifier
1336845643
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71824 Issued in NM
Practice address
1400 Main St NW
Los Lunas, NM 87031-4812
Phone
(505) 916-0533
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71824 NM Primary

Addresses

Primary practice location

1400 Main St NW
Los Lunas, NM 87031-4812

Mailing address

19765 Highway 314
Belen, NM 87002-6392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20230417000967 NM Practitioner - Nurse Practitioner 3375918790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Vida Health Care and Medi SpaGroup PAC ID 6507092327, 14 clinicians

Practice addresses (Care Compare)

328 Main St NE
Los Lunas, NM 87031-7454
Phone (505) 916-5446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71824NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vida Health Care and Medi Spa CurrentSince Apr 1, 2023 Accepting new patients

Locations

328 Main St NE
Los Lunas, NM 87031
Phone (505) 916-5167

1400 Main St NW
Los Lunas, NM 87031
Phone (505) 440-6403

Interoperability endpoints

  • Direct secure messaging: mhernandez@bvhc-nm.direct.office.nextgen.com

Organizations & group practices 1

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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1336845643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19765 HIGHWAY 314",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870026392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST NW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870314812",
            "telephone_number": "505-916-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "71824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

Verify at the official NPI Registry.