Individual provider Active NPI

Jesus Hernandez, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1558682005
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP118066 Issued in TX
Practice address
5320 Trail Lake Dr
Fort Worth, TX 76133-1931
Phone
(817) 865-3761
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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 AP118066 TX Primary

Addresses

Primary practice location

5320 Trail Lake Dr
Fort Worth, TX 76133-1931

Mailing address

501 Cherokee St
Elm Mott, TX 76640
Phone (254) 327-9794

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
I20110601000319 TX Practitioner - Nurse Practitioner 9032396908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Limestone Hospital DistrictGroup PAC ID 9032103700, shared by 31 NPIs, 19 clinicians

Practice addresses (Care Compare)

204 W Trinity St
Groesbeck, TX 76642-1324
Phone (254) 729-3740

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care TX PLLC CurrentSince Dec 6, 2023 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Dec 6, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc PastSince Mar 1, 2024 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 600
Dallas, TX 75244

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

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 2

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": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1558682005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CHEROKEE ST",
            "city": "ELM MOTT",
            "state": "TX",
            "postal_code": "76640",
            "telephone_number": "254-327-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761331931",
            "telephone_number": "817-865-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JESUS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.