Jerry Hernandez Sr., ARNP, FNP-ACAGNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9335689 Issued in FL

Practice address

3691 Tamiami TRL
Punta Gorda, FL 33950-7228

Phone

(941) 876-8486

NPI assigned

Feb 7, 2017

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Male

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Health Plus LLCGroup PAC ID 5799174900, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24992/brand/1/csg/1/fhir/r4
• Direct secure messaging: jerry.hernandez.1@24992.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Health Plus LLC

  • Primary Care Nurse Practitioner
  • Punta Gorda, FL
  • NPI 1043972102
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1396283578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E MARION AVE UNIT 511323",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339513662",
            "telephone_number": "941-876-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 TAMIAMI TRL",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339507228",
            "telephone_number": "941-876-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JERRY",
        "name_suffix": "Sr.",
        "credential": "ARNP, FNP-ACAGNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-07",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9335689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory James Hengel Jr., D.C.
• Robert A Henning, PA
• Christine A. Henshaw, OTR/L
• Joan Hensley, APRN
• Sherline Herard, LMHC
• Douglas Mark Hershkowitz, M.D.
• HHC Provider Services LLC (Mobile Med Services)
• Timothy Higgins, D.D.S.
• Highest Honor Home Care, LLC
• Roy Ray Hill

• Nurse Practitioner in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.

Verify at the official NPI Registry.