Individual provider Active NPI

Priscila Eurenia Hernandez, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1386258473
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
247112 Issued in AZ
Practice address
6622 N 91St Ave Ste 200
Glendale, AZ 85305-2569
Phone
(623) 547-4668
Fax
(623) 535-7869
NPI assigned
Sep 4, 2020
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 247112 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 247112 AZ Primary

Addresses

Primary practice location

6622 N 91St Ave Ste 200
Glendale, AZ 85305-2569

Mailing address

6622 N 91St Ave Ste 220
Glendale, AZ 85305-2569
Phone (027) 596-8836

Other identifiers 1

IdentifierTypeStateIssuer
083399MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210106002575 AZ Practitioner - Nurse Practitioner 8022421270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

6622 N 91St Ave
Suite 200
Glendale, AZ 85305-2569
Phone (623) 547-4668

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247112AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Current Accepting new patients
Akdhc Surgery Center, LLC Current Accepting new patients
Roya Health, LLC Psychiatric/Mental Health CurrentSince Aug 20, 2025 Accepting new patients
Akdhc, LLC CurrentSince Dec 7, 2020 Accepting new patients
Akdhc, LLC CurrentSince Dec 7, 2020 Accepting new patients
Roya Health, LLC Psychiatric/Mental Health CurrentSince Aug 20, 2025 Accepting new patients
Aqua Rituals, LLC Family Current Accepting new patients

Locations

6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

1345 E Main St
Mesa, AZ 85203
Phone (480) 300-4741

1345 E Main St
Ste 104
Mesa, AZ 85203
Phone (480) 300-4741

3320 N 2nd St
Phoenix, AZ 85012
Phone (602) 200-8288

4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322

825 W Southern Ave
Phoenix, AZ 85041
Phone (480) 300-4741

4317 Lead Ave SE
Albuquerque, NM 87108
Phone (602) 341-3473

Interoperability endpoints

  • Direct secure messaging: priscila.hernandez.1@11625.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1386258473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE STE 220",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "027-596-8836",
            "fax_number": "602-224-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 N 91ST AVE STE 200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052569",
            "telephone_number": "623-547-4668",
            "fax_number": "623-535-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "PRISCILA",
        "middle_name": "EURENIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "247112",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "247112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083399",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.