Individual provider Active NPI

Alyssa Arielle Hernandez, PA-C

  • Physician Assistant
  • Waco, TX
National Provider Identifier
1407311863
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18467 Issued in TX
Practice address
408 N Valley Mills Dr Ste 408F
Waco, TX 76710-7000
Phone
(254) 523-3622
Fax
(254) 523-3623
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 56061 CA
Physician Assistant 363A00000X PA18467 TX Primary

Addresses

Primary practice location

408 N Valley Mills Dr Ste 408F
Waco, TX 76710-7000

Mailing address

408 N Valley Mills Dr Ste 408F
Waco, TX 76710-7000
Phone (254) 523-3622

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115003469 TX Practitioner - Physician Assistant 7810394624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

3150 S 31St St
Temple, TX 76502-1803
Phone (254) 342-3836

4025 S Padre Island Dr
Corpus Christi, TX 78411-4420
Phone (361) 852-8255

408 N Valley Mills Dr
Suite 408F
Waco, TX 76710-7000
Phone (254) 523-3622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18467TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Oct 22, 2024 Accepting new patients
American Current Care P.a. CurrentSince Oct 22, 2024 Accepting new patients
Alameda Industrial Medical Group Past Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

408 N Valley Mills Dr
Ste 408F
Waco, TX 76710
Phone (254) 523-3622

Organizations & group practices 4

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1407311863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N VALLEY MILLS DR STE 408F",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107000",
            "telephone_number": "254-523-3622",
            "fax_number": "254-523-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N VALLEY MILLS DR STE 408F",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107000",
            "telephone_number": "254-523-3622",
            "fax_number": "254-523-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ALYSSA",
        "middle_name": "ARIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "56061",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.