Individual provider Active NPI

Amy M Hernandez, MD

  • Family Medicine Physician
  • Wimberley, TX
National Provider Identifier
1659631901
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q0068 Issued in TX
Practice address
201 FM 3237 Ste 111
Wimberley, TX 78676-2119
Phone
(512) 847-3434
Fax
(512) 847-6795
NPI assigned
May 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q0068 TX Primary

Addresses

Primary practice location

201 FM 3237 Ste 111
Wimberley, TX 78676-2119

Mailing address

201 FM 3237 Ste 111
Wimberley, TX 78676-2119
Phone (512) 847-3434

Other identifiers 3

IdentifierTypeStateIssuer
418733YMG2OtherMEDICARE
P01594333OtherRR MEDICARE
192390601MedicaidTX

Other names 1

  • Amy Hlavaty Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706000240 TX Practitioner - Family Practice 9335451319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

201 FM
Wimberley, TX 78676-2119

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 1, 2021 Accepting new patients

Locations

1340 Wonder World Dr
Ste 4301
San Marcos, TX 78666
Phone (512) 353-6400

1320 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 392-1700

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

201 FM 3237
Ste 111
Wimberley, TX 78676
Phone (512) 847-3434

Interoperability endpoints

  • Direct secure messaging: ahernandez254535@christushealth.direct-ci.net

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1659631901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FM 3237 STE 111",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786762119",
            "telephone_number": "512-847-3434",
            "fax_number": "512-847-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FM 3237 STE 111",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786762119",
            "telephone_number": "512-847-3434",
            "fax_number": "512-847-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "418733YMG2",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01594333",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192390601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HLAVATY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wimberley, TX

Sources for this page

Verify at the official NPI Registry.