Active NPI
Sherryl Denisse Mitchell Hernandez, M.D.
- Nephrology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- R6443
- Practice address
- 12446 West Ave
San Antonio, TX 78216-2517 - Phone
- (210) 729-2262
- NPI assigned
- Aug 8, 2014
- Last updated
- Apr 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | R6443 | TX | Primary |
Addresses
Primary practice location
12446 West Ave
San Antonio, TX 78216-2517
Mailing address
12446 West Ave
San Antonio, TX 78216-2517
Phone (210) 729-2262
Other practice location 1
Ave. Hostos carr#2, suite 104
Bo Sabalos
Mayaguez, PR 00680
Phone (787) 652-9200
Other practice location 2
1222 McCullough Ave Ste 101
San Antonio, TX 78212-4812
Phone (210) 858-7604
Other practice location 3
504 N MacArthur Ave
Panama City, FL 32401-3636
Phone (850) 769-2158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31012 | Other | PR | JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA |
Other names 1
- Sherryl Denisse Mitchell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
449 W 23Rd St
HCA Florida Gulf Coast Hospital
Panama City, FL 32405-4593
Phone (813) 873-6400
504 N Macarthur Ave
Panama City, FL 32401-3636
Phone (850) 769-2158
Hospital & facility affiliations
- DaVita Lynn Haven Dialysis
- FMC - Panama City
- DaVita Panama City Dialysis Center
- HCA Florida Gulf Coast Hospital
- Ascension Sacred Heart Bay
- Jackson Hospital
- Ascension Sacred Heart Gulf
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates PA | Single Specialty | Current | Accepting new patients |
| Kidney and Primary Care of Texas LLC | Single Specialty | Current | Accepting new patients |
| Micaby Medical,PLLC | Single Specialty | Current | Accepting new patients |
| Geoff R Weikle DO PLLC | Single Specialty | Past | Accepting new patients |
| SNG - Barlite San Saba Dialysis Centers LP | Past | Accepting new patients |
Locations
3048 4th St
Marianna, FL 32446
Phone (850) 526-5530
504 N MacArthur Ave
Panama City, FL 32401
Phone (850) 769-2158
17745 Ashley Dr
Panama City Beach, FL 32413
1222 McCullough Ave
#101
San Antonio, TX 78212
Phone (210) 858-7604
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GICECD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Nephrology Physician
- San Antonio, TX
- NPI 1689209157
Single Specialty
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Antonio, TX
- NPI 1760700298
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Medical Care Panama City
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Panama City, FL
- NPI 1588974935
Dialysis facility
-
dba Lynn Haven Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lynn Haven, FL
- NPI 1174912596
Dialysis facility
-
- Rural Acute Care Hospital
- Port St Joe, FL
- NPI 1083941678
-
dba Ascension Sacred Heart Bay
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1578972089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12446 WEST AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162517",
"telephone_number": "210-729-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12446 WEST AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162517",
"telephone_number": "210-729-2262"
}
],
"practiceLocations": [
{
"address_1": "Ave. Hostos carr#2, suite 104",
"address_2": "Bo Sabalos",
"address_purpose": "LOCATION",
"city": "Mayaguez",
"state": "PR",
"postal_code": "00680",
"country_code": "US",
"telephone_number": "787-652-9200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1222 McCullough Ave Ste 101",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782124812",
"country_code": "US",
"telephone_number": "210-858-7604",
"fax_number": "210-888-0383",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "504 N MacArthur Ave",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324013636",
"country_code": "US",
"telephone_number": "850-769-2158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL HERNANDEZ",
"first_name": "SHERRYL",
"middle_name": "DENISSE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-08",
"last_updated": "2021-04-29",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "R6443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JUNTA DE LICENCIAMIENTO Y DISCIPLINA MEDICA",
"identifier": "31012",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRYL",
"last_name": "MITCHELL",
"middle_name": "DENISSE",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.