Individual provider Active NPI

Stephanie Hernandez

  • Acute Care Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1730625963
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
284882 Issued in AZ
Practice address
1709 N Apache Dr
Chandler, AZ 85224-2726
Phone
(219) 916-0619
NPI assigned
Jan 11, 2017
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 284882 AZ Primary
Registered Nurse 163W00000X 28185320A IN

Addresses

Primary practice location

1709 N Apache Dr
Chandler, AZ 85224-2726

Mailing address

77 S Dobson Rd
Chandler, AZ 85224-6289
Phone (480) 814-0266

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
I20230125002272 AZ Practitioner - Nurse Practitioner 9537530779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

77 S Dobson Rd
Chandler, AZ 85224-6289
Phone (480) 814-0266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28185320AINMDRegistered Nurse
284882AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiovascular Center, PLC CurrentSince Jan 16, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jun 18, 2024 Accepting new patients
Premier Cardiovascular Center, PLC CurrentSince Jan 16, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jun 18, 2024 Accepting new patients
Priority Home Health Inc Past Accepting new patients
SNKS Enterprises LLC Past Accepting new patients

Locations

803 N Salk Dr
Casa Grande, AZ 85122
Phone (480) 917-3706

725 S Dobson Rd
Ste 100
Chandler, AZ 85224
Phone (480) 814-0266

77 S Dobson Rd
Chandler, AZ 85224
Phone (480) 814-0266

77 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 814-0266

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

10440 E Riggs Rd
Ste 200
Sun Lakes, AZ 85248
Phone (480) 814-0266

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: stephanie.hernandez.p1@direct.pcvc.nextgenshare.com

Organizations & group practices 6

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 3

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": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1730625963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246289",
            "telephone_number": "480-814-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 N APACHE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242726",
            "telephone_number": "219-916-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "284882",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28185320A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.