Individual provider Active NPI

Maria Teresa Perez Hernandez, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1780259143
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012411 Issued in FL
Practice address
9809 Greenway Garden CT Apt 103
Tampa, FL 33619-7057
Phone
(813) 804-2372
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 APRN11012411 FL Primary

Addresses

Primary practice location

9809 Greenway Garden CT Apt 103
Tampa, FL 33619-7057

Mailing address

1012 S 69TH St
Tampa, FL 33619-4679
Phone (813) 804-2372

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
I20220824003771 FL Practitioner - Nurse Practitioner 5597149500 Reassigns benefits to 1 organization

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
Bestcare Physician Services LLCGroup PAC ID 1456690320, 14 clinicians

Practice addresses (Care Compare)

5331 Primrose Lake Cir
Suite 112
Tampa, FL 33647-3764
Phone (813) 517-4629

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.35 of 100Reported as group
Quality
93.89
Improvement activities
40
Cost
29.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11012411FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bestcare Physician Services LLC. CurrentSince Apr 18, 2022 Accepting new patients

Locations

5331 Primrose Lake Cir
Ste 112
Tampa, FL 33647
Phone (813) 316-6500

Organizations & group practices 1

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.

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1780259143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 S 69TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194679",
            "telephone_number": "813-804-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9809 GREENWAY GARDEN CT APT 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197057",
            "telephone_number": "813-804-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ HERNANDEZ",
        "first_name": "MARIA TERESA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.