Individual provider Active NPI

Courtney M Hernandez, PA-C

  • Medical Physician Assistant
  • Arcadia, LA
National Provider Identifier
1841560034
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA200508 Issued in LA
Practice address
660 Factory Outlet Dr
Arcadia, LA 71001-3036
Phone
(318) 816-8155
Fax
(318) 782-7055
NPI assigned
Jan 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA200508 LA Primary

Addresses

Primary practice location

660 Factory Outlet Dr
Arcadia, LA 71001-3036

Mailing address

5520 Johnston St Ste K
Lafayette, LA 70503-5138
Phone (318) 816-8155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20150423001923 LA Practitioner - Physician Assistant 9032437017 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA200508LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hulin Urgent Care Services LLC CurrentSince Dec 6, 2023 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Dec 6, 2023 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Caldwell Memorial Hospital, Inc CurrentSince Mar 1, 2019 Accepting new patients
Premier Urgent Care and Bariatric Services, LLC Past Accepting new patients

Locations

411 Main St
Columbia, LA 71418
Phone (318) 649-6111

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/caldmem-57e7c173

Organizations & group practices 8

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": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1841560034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 JOHNSTON ST STE K",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035138",
            "telephone_number": "318-816-8155",
            "fax_number": "318-782-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 FACTORY OUTLET DR",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710013036",
            "telephone_number": "318-816-8155",
            "fax_number": "318-782-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA200508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, LA

Sources for this page

Verify at the official NPI Registry.