Active NPI
Hanna Fernandez, NP-C
- Family Nurse Practitioner
- Gulfport, MS
National Provider Identifier
1881293371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 904166
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, PC
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 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 80.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefield Eye Care, PC | Current | Accepting new patients |
Locations
14225 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 328-0972
Interoperability endpoints
- hanna@benefieldeyecare.emadirect.md
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.