Individual provider Active NPI

Michael Hernandez

  • Psychiatric/Mental Health Nurse Practitioner
  • Davie, FL
National Provider Identifier
1760203087
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11036021 Issued in FL
Practice address
10400 Griffin Rd Ste 201
Davie, FL 33328-3321
Phone
(954) 947-1130
Fax
(754) 315-2744
NPI assigned
Oct 19, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11036021 FL Primary

Addresses

Primary practice location

10400 Griffin Rd Ste 201
Davie, FL 33328-3321

Mailing address

9441 SW 50TH St
Cooper City, FL 33328-4142
Phone (954) 947-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250108002348 FL Practitioner - Nurse Practitioner 7012445786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida International Univ, College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11036021FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 15, 2025 Accepting new patients
Twelve Oaks Psychiatry CurrentSince Jul 9, 2025 Accepting new patients
Envision Mindcare CurrentSince Dec 1, 2024 Accepting new patients
Health & Psychiatrist Consultants LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

10400 Griffin Rd
Ste 201
Davie, FL 33328
Phone (954) 295-5825

12 SE 7th St
Ste 705
Ft Lauderdale, FL 33301
Phone (786) 220-1969

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3000 Biscayne Blvd
Ste 216
Miami, FL 33137
Phone (786) 220-1969

3919 Tampa Rd
Oldsmar, FL 34677
Phone (727) 733-6111

Organizations & group practices 4

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": "1729296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1760203087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 SW 50TH ST",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333284142",
            "telephone_number": "954-947-1130",
            "fax_number": "754-315-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 GRIFFIN RD STE 201",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283321",
            "telephone_number": "954-947-1130",
            "fax_number": "754-315-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-19",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11036021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.