Individual provider Active NPI

Faynessa Justine Hernandez, M.D.

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1699120642
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2019-0855 Issued in NM
Practice address
1691 Galisteo St Ste D
Santa Fe, NM 87505-4781
Phone
(505) 955-9454
Fax
(505) 982-0279
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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 MD2019-0855 NM Primary

Addresses

Primary practice location

1691 Galisteo St Ste D
Santa Fe, NM 87505-4781

Mailing address

PO Box 6880
Santa Fe, NM 87502-6880
Phone (505) 216-0332

Other practice location 1

Msc 09 5040 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6607

Other practice location 2

1511 S Grand Ave
Roswell, NM 88203-5407
Phone (575) 623-3255

Other practice location 3

901 W Alameda St
Santa Fe, NM 87501-1681
Phone (505) 955-9454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20191211000452 NM Practitioner - Family Practice 2365736998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Southwest Care CenterGroup PAC ID 8921043035, 28 clinicians

Practice addresses (Care Compare)

454 Saint Michaels Dr
Santa Fe, NM 87505-7602
Phone (505) 473-0390

901 W Alameda St
Santa Fe, NM 87501-1681
Phone (505) 955-9454

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Care Center CurrentSince Jan 17, 2023 Accepting new patients
Southwest Care Center CurrentSince Jan 17, 2023 Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Dec 1, 2025 Accepting new patients
Southwest Care Center Past Accepting new patients

Locations

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

901 W Alameda St
Santa Fe, NM 87501
Phone (505) 955-9454

454 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 303-5000

649 Harkle Rd
Ste E
Santa Fe, NM 87505
Phone (505) 955-9454

1691 Galisteo St
Ste D
Santa Fe, NM 87505
Phone (505) 954-1921

Interoperability endpoints

  • Direct secure messaging: faynessa.hernandez.1@19212.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1699120642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6880",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026880",
            "telephone_number": "505-216-0332",
            "fax_number": "505-982-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054781",
            "telephone_number": "505-955-9454",
            "fax_number": "505-982-0279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Msc 09 5040 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-6607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882035407",
            "country_code": "US",
            "telephone_number": "575-623-3255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 W Alameda St",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875011681",
            "country_code": "US",
            "telephone_number": "505-955-9454",
            "fax_number": "505-982-6298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "FAYNESSA",
        "middle_name": "JUSTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2019-0855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.