Individual provider Active NPI

Samantha Hernandez

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1457018368
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1059619 Issued in TX
Practice address
1122 Montana Ave Ste a
El Paso, TX 79902-5510
Phone
(915) 307-5796
NPI assigned
Nov 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1059619 TX Primary

Addresses

Primary practice location

1122 Montana Ave Ste a
El Paso, TX 79902-5510

Mailing address

4849 N Mesa St Ste 201
El Paso, TX 79912-5919
Phone (915) 351-6600

Other identifiers 1

IdentifierTypeStateIssuer
AP1059619OtherTXLICENSE

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
I20211216000677 TX Practitioner - Nurse Practitioner 1658762232 Reassigns benefits to 1 organization

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
Alfredo H Arellano Pmhcns-BC PAGroup PAC ID 4385972108, 6 clinicians

Practice addresses (Care Compare)

1122 Montana Ave
Suite a
El Paso, TX 79902-5510
Phone (915) 307-5796

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alfredo H Arellano Pmhcns-BC PA CurrentSince Apr 1, 2025 Accepting new patients

Locations

1122 Montana Ave
#A
El Paso, TX 79902
Phone (915) 307-5796

2204 Joe Battle Blvd
Ste D207
El Paso, TX 79938
Phone (915) 307-5796

1611 Beech St
Ste D
El Paso, TX 79925
Phone (915) 307-5796

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": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1457018368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MESA ST STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125919",
            "telephone_number": "915-351-6600",
            "fax_number": "915-351-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 MONTANA AVE STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025510",
            "telephone_number": "915-307-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-27",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1059619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP1059619",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.