Individual provider Active NPI

Ibironke A Hernandez, CRNP

  • Acute Care Nurse Practitioner
  • Ewa Beach, HI
National Provider Identifier
1831471267
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN-3966 Issued in HI
Practice address
91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone
(808) 691-3000
NPI assigned
Sep 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R185233 MD
Family Nurse Practitioner 363LF0000X RN1011969 DC
Acute Care Nurse Practitioner 363LA2100X APRN-3966 HI Primary

Addresses

Primary practice location

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993

Mailing address

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone (808) 691-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD, HI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20120313000344 DC Practitioner - Nurse Practitioner 9335308212 Reassigns benefits to 2 organizations
I20171118000005 VA Practitioner - Nurse Practitioner 9335308212 Reassigns benefits to 2 organizations
I20180430001269 MD Practitioner - Nurse Practitioner 9335308212 Reassigns benefits to 2 organizations
I20230810000380 HI Practitioner - Nurse Practitioner 9335308212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1380 Lusitana St
Honolulu, HI 96813-2448

91 -2127 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone (808) 691-3000

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R185233MDMDAcute Care Nurse Practitioner
RN1011969DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Jul 1, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Mar 20, 2018 Accepting new patients
Capital Area Nurse Practitioners Family Current Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Mar 20, 2018 Accepting new patients
Queens University Medical Group CurrentSince Jul 28, 2023 Accepting new patients
Lake Spring Physician Services, LLC CurrentSince Jan 10, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2018 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Jan 1, 2019 Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

840 1st St NE
Fl 3
Washington, DC 20002
Phone (855) 325-3909

10 G St NE
Ste 600
Washington, DC 20002
Phone (202) 248-5046

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 9

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": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1831471267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2141 FORT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061993",
            "telephone_number": "808-691-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2141 FORT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061993",
            "telephone_number": "808-691-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "IBIRONKE",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R185233",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1011969",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "HI",
            "license": "APRN-3966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

Verify at the official NPI Registry.