Active NPI
Molly Joan Hernandez, FNP
- Family Nurse Practitioner
- Crescent City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11006138
- Practice address
- 899 N Summit St
Crescent City, FL 32112-2109 - Phone
- (386) 698-1088
- Fax
- (386) 698-1099
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11006138 | FL | Primary |
Addresses
Primary practice location
899 N Summit St
Crescent City, FL 32112-2109
Mailing address
899 N Summit St
Crescent City, FL 32112-2109
Phone (386) 698-1088
Other practice location 1
301 Viking St
Palatka, FL 32177-3846
Phone (386) 937-6650 ext. 38632
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 Zeagler Dr
Palatka, FL 32177-3810
Phone (386) 328-5711
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11006138 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam Physicians Group LLC | Current | Accepting new patients | |
| Community Rural Health Inc | Current | Accepting new patients | |
| Hospital Physician Services of Florida PA | Current | Accepting new patients |
Locations
899 N Summit St
Crescent City, FL 32112
Phone (386) 689-1088
611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
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.
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
-
- Internal Medicine Physician
- Crescent City, FL
- NPI 1427238468
-
- Internal Medicine Physician
- Palatka, FL
- NPI 1013349802
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Putnam Hospital
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1609408160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 N SUMMIT ST",
"city": "CRESCENT CITY",
"state": "FL",
"postal_code": "321122109",
"telephone_number": "386-698-1088",
"fax_number": "386-698-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 N SUMMIT ST",
"city": "CRESCENT CITY",
"state": "FL",
"postal_code": "321122109",
"telephone_number": "386-698-1088",
"fax_number": "386-698-1099"
}
],
"practiceLocations": [
{
"address_1": "301 Viking St",
"address_purpose": "LOCATION",
"city": "Palatka",
"state": "FL",
"postal_code": "321773846",
"country_code": "US",
"telephone_number": "386-937-6650 x38632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MOLLY",
"middle_name": "JOAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11006138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crescent City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.