Individual provider Active NPI

Abigail Naomi Hernandez, DNP, FNP-BC

  • Family Nurse Practitioner
  • Eagle Pass, TX
National Provider Identifier
1578219010
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1058020 Issued in TX
Practice address
1175 Eidson Rd
Eagle Pass, TX 78852-5403
Phone
(830) 757-6946
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 1058020 TX Primary

Addresses

Primary practice location

1175 Eidson Rd
Eagle Pass, TX 78852-5403

Mailing address

2525 N Veterans Blvd
Eagle Pass, TX 78852-3302
Phone (830) 773-8917

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
I20220608001666 TX Practitioner - Nurse Practitioner 6103204862 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1058020TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Centers Family CurrentSince Apr 4, 2022 Accepting new patients
United Medical Centers Family CurrentSince Apr 4, 2022 Accepting new patients
United Medical Centers Past Accepting new patients
DLP Home Care Services LLC Past Accepting new patients

Locations

1175 Eidson Rd
Eagle Pass, TX 78852
Phone (830) 757-6946

2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358

Interoperability endpoints

  • Direct secure messaging: abigail.hernandez.p1@direct.umchealth.nextgenshare.com

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1578219010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N VETERANS BLVD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523302",
            "telephone_number": "830-773-8917",
            "fax_number": "830-773-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 EIDSON RD",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525403",
            "telephone_number": "830-757-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ABIGAIL",
        "middle_name": "NAOMI",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1058020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.