Individual provider Active NPI

Hanna Fernandez, NP-C

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1881293371
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904166 Issued in MS
Practice address
14225 Dedeaux Rd
Gulfport, MS 39503-3369
Phone
(228) 328-0972
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 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 904166 MS Primary

Addresses

Primary practice location

14225 Dedeaux Rd
Gulfport, MS 39503-3369

Mailing address

11200 Three Rivers Rd Apt 5F
Gulfport, MS 39503-3589
Phone (504) 881-3183

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Hfernadez@benefieldeyecare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20201221001767 MS Practitioner - Nurse Practitioner 3476965286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefield Eye Care, PCGroup PAC ID 0143258368, 3 clinicians

Practice addresses (Care Compare)

14225 Dedeaux Rd
Gulfport, MS 39503-3369
Phone (228) 328-0972

Merit-based Incentive Payment System (MIPS)

Final score
92.28 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Benefield Eye Care, PC CurrentSince Dec 14, 2020 Accepting new patients

Locations

14225 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 328-0972

Interoperability endpoints

  • Direct secure messaging: hanna@benefieldeyecare.emadirect.md
  • Direct secure messaging: hfernadez@benefieldeyecare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1881293371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 THREE RIVERS RD APT 5F",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033589",
            "telephone_number": "504-881-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14225 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033369",
            "telephone_number": "228-328-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "HANNA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hfernadez@benefieldeyecare.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office email",
            "address_1": "14225 Dedeaux Rd",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395033369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.