Individual provider Active NPI

Ayin D. Hernandez, FNP-C

  • Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1619433489
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
220568 Issued in AZ
Practice address
9750 W Peoria Ave Ste 120
Peoria, AZ 85345-6108
Phone
(623) 281-1620
Fax
(623) 281-1622
NPI assigned
Feb 15, 2019
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 220568 AZ Primary

Addresses

Primary practice location

9750 W Peoria Ave Ste 120
Peoria, AZ 85345-6108

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Other practice location 1

14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Phone (623) 223-2690

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahernandez@catalytichealthpartners.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190617002309 AZ Practitioner - Nurse Practitioner 3476886888 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220568AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Hart PLLC CurrentSince Aug 3, 2025 Accepting new patients
Archwell Health Professional Services of Arizona, LLC CurrentSince Mar 26, 2024 Accepting new patients
CHP Care, PC CurrentSince May 9, 2019 Accepting new patients

Locations

4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260

9750 W Peoria Ave
Peoria, AZ 85345
Phone (623) 281-1620

9750 W Peoria Ave
Ste 120
Peoria, AZ 85345
Phone (623) 281-1620

3050 W Agua Fria Fwy
Ste 150
Phoenix, AZ 85027
Phone (602) 332-3363

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1619433489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 W PEORIA AVE STE 120",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456108",
            "telephone_number": "623-281-1620",
            "fax_number": "623-281-1622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14502 W Meeker Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755282",
            "country_code": "US",
            "telephone_number": "623-223-2690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "AYIN",
        "middle_name": "D.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "220568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahernandez@catalytichealthpartners.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2222 W Pinnacle Peak Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850271231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.