Jesus Hernandez, CNP
Individual provider Active NPI Family Nurse Practitioner · Chaparral, NM
NPI 1730400870 · NPPES record last updated Aug 28, 2018
Key facts
- NPI
- 1730400870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP-01621 (NM)
- Practice address
- 510 E Lisa Dr
Chaparral, NM 88081 - Phone
- (575) 824-0820
- Fax
- (575) 824-1021
- NPI assigned
- Jun 11, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- La Clinica de Familia Incorporated
Practice addresses (Care Compare)
510 E Lisa Dr BLDG
2 LCDF Chaparral Mental Health
Chaparral, NM 88081-7809
Phone (575) 824-3740
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100922000632 | NM | Practitioner - Nurse Practitioner | 3476679945 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de Familia, Incorporated | Current |
Accepting new patients | |
| La Clinica de Familia, Incorporated | Current |
Accepting new patients | |
| La Clinica de Familia, Incorporated | Current | Accepting new patients |
Locations
826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135
855 Anthony Dr
Anthony, NM 88021
Phone (575) 882-3607
510 E Lisa Dr
Bldg 2
Chaparral, NM 88081
Phone (575) 824-0128
510 E Lisa Dr
Chaparral, NM 88081
Phone (575) 824-0128
385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444
Interoperability endpoints
- jesus.hernandez@lcdfnm.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP-01621 | NM | Yes |
Addresses
Primary practice location
510 E Lisa Dr
Chaparral, NM 88081
Mailing address
385 Calle de Alegra
BLDG. a
Las Cruces, NM 88005-3417
Phone (575) 526-1105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28820533 | Medicaid | NM | |
| NMA100721 | Other | NM | MEDICARE |
Other providers in Chaparral, NM
- Tina Gomez
- Veronica Gonzalez
- Gustavo Gutierrez
- Healthnet Medical Family & Internal Medicine LLC
- Carlos Roberto Hernandez
- Leasette Marie Hernandez
- Monica Hernandez
- Rigoberto Hernandez
- Victoria Herrera
- Kellie Hoskins
All providers in Chaparral, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.