Individual provider Active NPI

Debbie Banuelos Hernandez, FNP

  • Family Nurse Practitioner
  • Palestine, TX
National Provider Identifier
1831714856
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145210 Issued in TX
Practice address
8 Meadow Dr
Palestine, TX 75801-5122
Phone
(903) 729-2153
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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 AP145210 TX Primary

Addresses

Primary practice location

8 Meadow Dr
Palestine, TX 75801-5122

Mailing address

8 Meadow Dr
Palestine, TX 75801-5122
Phone (903) 729-2153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200724000266 TX Practitioner - Nurse Practitioner 3274957139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycamore Medical ClinicGroup PAC ID 9638367188, 5 clinicians

Practice addresses (Care Compare)

1021 S Sycamore St
Palestine, TX 75801-5041
Phone (903) 729-8328

Hospital & facility affiliations

  • Elara Caring Home health agency, Teague, TX, CCN 458346
  • Enhabit Home Health Home health agency, Palestine, TX, CCN 678197
  • Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145210TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Gorby, M.D.P.a. Current Accepting new patients
Sycamore Medical Clinic CurrentSince Jul 1, 2020 Accepting new patients

Locations

1021 S Sycamore St
Palestine, TX 75801
Phone (903) 723-2547

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAADA

Organizations & group practices 2

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 4

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1831714856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEADOW DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015122",
            "telephone_number": "903-729-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEADOW DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015122",
            "telephone_number": "903-729-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DEBBIE",
        "middle_name": "BANUELOS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.