Active NPI
Jon E Hernandez, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 533546
- Practice address
- 13601 Preston Rd
Ste 1000W
Dallas, TX 75240-4911 - Phone
- (972) 663-8523
- Fax
- (972) 663-8329
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 533546 | TX | Primary |
Addresses
Primary practice location
13601 Preston Rd
Ste 1000W
Dallas, TX 75240-4911
Mailing address
PO Box 650426
Dallas, TX 75265-0426
Phone (972) 715-5000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159873203 | Medicaid | TX | |
| 89662U | Other | TX | BCBS |
| 84219U | Other | TX | BCBSTX |
| 159873202 | Medicaid | TX | |
| P00719196 | Other | TX | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14850 Quorum Dr
Suite 400
Dallas, TX 75254-1445
Phone (469) 437-3564
Hospital & facility affiliations
- Methodist Southlake Medical Center
- Baylor Medical Center at Trophy Club
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54526 | TX | MD | Pharmacist |
| 533546 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valiant Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Miller-Franklin Limited Liability Partnership | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Clinical Partners PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1588906812
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1821253907
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southlake, TX
- NPI 1568818417
-
- General Acute Care Hospital
- Trophy Club, TX
- NPI 1982609558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1467400507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650426",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650426",
"telephone_number": "972-715-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13601 PRESTON RD",
"address_2": "STE 1000W",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404911",
"telephone_number": "972-663-8523",
"fax_number": "972-663-8329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JON",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "533546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159873203",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89662U",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "84219U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159873202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00719196",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.