Individual provider Active NPI

Christelle Marie Hernandez, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1497101356
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130560 Issued in TX
Practice address
11476 Space Center Blvd Ste 100
Houston, TX 77059-3656
Phone
(713) 486-6325
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130560 TX Primary

Addresses

Primary practice location

11476 Space Center Blvd Ste 100
Houston, TX 77059-3656

Mailing address

11476 Space Center Blvd Ste 100
Houston, TX 77059-3656

Other practice location 1

3811 Lyons Ave
Houston, TX 77020
Phone (832) 548-5000

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
I20180109000629 TX Practitioner - Nurse Practitioner 1052670577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

11476 Space Ctr Blvd
Suite 100
Houston, TX 77059-3656
Phone (713) 486-6335

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130560TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Mar 11, 2019 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Mar 11, 2019 Accepting new patients
Ut Physicians CurrentSince Jan 16, 2024 Accepting new patients
Ut Physicians CurrentSince Jan 16, 2024 Accepting new patients

Locations

5515 South Loop E
#B
Houston, TX 77033

2525 Holly Hall St
Ste 3B
Houston, TX 77054

3811 Lyons Ave
Houston, TX 77020
Phone (713) 814-3494

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

11476 Space Center Blvd
Ste 100
Houston, TX 77059
Phone (713) 486-6325

6410 Fannin St
Houston, TX 77030
Phone (713) 500-5800

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

5420 Dashwood Dr
Ste 100
Houston, TX 77081
Phone (713) 486-2900

1415 California St
Houston, TX 77006
Phone (713) 665-8800

13940 Bonham St
Houston, TX 77015
Phone (713) 330-8904

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1497101356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11476 SPACE CENTER BLVD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11476 SPACE CENTER BLVD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593656",
            "telephone_number": "713-486-6325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77020",
            "country_code": "US",
            "telephone_number": "832-548-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CHRISTELLE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.