Individual provider Active NPI

Elisabeth Meehna Hernandez, MSN RN APRN-CNS CCM

  • Acute Care Clinical Nurse Specialist
  • Eugene, OR
National Provider Identifier
1871222430
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
202213113CNS-PP Issued in OR
Practice address
935 Willagillespie Rd Ste a
Eugene, OR 97401-2106
Phone
(541) 600-0878
Fax
(541) 854-4000
NPI assigned
Jun 8, 2022
Last updated
Jun 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Registered Nurse 163WS0121X 201406369RN OR
Case Management Registered Nurse 163WC0400X 201406369RN OR
Acute Care Nurse Practitioner 363LA2100X 202213113CNS-PP OR
Acute Care Clinical Nurse Specialist 364SA2100X 202213113CNS-PP OR Primary

Addresses

Primary practice location

935 Willagillespie Rd Ste a
Eugene, OR 97401-2106

Mailing address

935 Willagillespie Rd Ste a
Eugene, OR 97401-2106
Phone (708) 666-0030

Other practice location 1

2677 Willakenzie Rd Ste 2
Eugene, OR 97401-4873
Phone (541) 600-0878

Other identifiers 1

IdentifierTypeStateIssuer
202213113CNS-PPOtherORAPRN LICENSE

Other names 1

  • Elisabeth Meehna Hernandez-Greenberg Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
201406369RNORMDCase Management Registered Nurse
202213113CNS-PPORMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arbora Collective LLC Current Accepting new patients

Locations

935 Willagillespie Rd
Ste A
Eugene, OR 97401
Phone (541) 600-0878

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1871222430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WILLAGILLESPIE RD STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012106",
            "telephone_number": "708-666-0030",
            "fax_number": "541-854-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WILLAGILLESPIE RD STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012106",
            "telephone_number": "541-600-0878",
            "fax_number": "541-854-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2677 Willakenzie Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974014873",
            "country_code": "US",
            "telephone_number": "541-600-0878",
            "fax_number": "541-854-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ELISABETH",
        "middle_name": "MEEHNA",
        "name_prefix": "Mrs.",
        "credential": "MSN RN APRN-CNS CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "OR",
            "license": "201406369RN",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OR",
            "license": "201406369RN",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "202213113CNS-PP",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "OR",
            "license": "202213113CNS-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "202213113CNS-PP",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "HERNANDEZ-GREENBERG",
            "middle_name": "MEEHNA",
            "credential": "MSN, RN APRN-CNS CCM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.