Individual provider Active NPI

Tracie Nicole Jay-Hernandez, APRN, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1720549355
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1182600 Issued in TX
Practice address
17754 Preston Rd Ste 100
Dallas, TX 75252-5638
Phone
(214) 557-3289
Fax
(945) 293-2912
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1182600 TX Primary

Addresses

Primary practice location

17754 Preston Rd Ste 100
Dallas, TX 75252-5638

Mailing address

17754 Preston Rd Ste 100
Dallas, TX 75252-5638
Phone (903) 814-3710

Other names 1

  • Tracie Jay-Hernandez 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241227001630 TX Practitioner - Nurse Practitioner 2769919067 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Dec 20, 2024 Accepting new patients
Perioperative and Transitional Medicine Group PLLC Family CurrentSince Jan 17, 2025 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

8220 Walnut Hill Ln
Ste 600
Dallas, TX 75231
Phone (214) 238-3074

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1720549355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17754 PRESTON RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525638",
            "telephone_number": "903-814-3710",
            "fax_number": "945-293-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17754 PRESTON RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525638",
            "telephone_number": "214-557-3289",
            "fax_number": "945-293-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY-HERNANDEZ",
        "first_name": "TRACIE",
        "middle_name": "NICOLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1182600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "JAY-HERNANDEZ",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.