Individual provider Active NPI

Adrienne Hernandez, APRN-CNP

  • Family Nurse Practitioner
  • Enid, OK
National Provider Identifier
1932694957
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0086612 Issued in OK
Practice address
108 W Randolph Ave
Enid, OK 73701-4005
Phone
(580) 402-8600
Fax
(888) 498-4576
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 86612 OK
Family Nurse Practitioner 363LF0000X R0086612 OK Primary

Addresses

Primary practice location

108 W Randolph Ave
Enid, OK 73701-4005

Mailing address

108 W Randolph Ave
Enid, OK 73701-4005
Phone (580) 402-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20180830003115 OK Practitioner - Nurse Practitioner 5597015164 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Oklahoma College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NR Enid LLCGroup PAC ID 4789194614, 3 clinicians

Practice addresses (Care Compare)

915 E Owen K Garriott Rd
Suite L
Enid, OK 73701-6155
Phone (580) 324-0182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0086612OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ PC CurrentSince Sep 1, 2024 Accepting new patients
Mills Family Clinic, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Physician Housecalls LLC CurrentSince Apr 1, 2024 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Sep 2, 2018 Accepting new patients
Integris Bass Baptist Health Center Current Accepting new patients
Signify Health, LLC CurrentSince Dec 11, 2023 Accepting new patients
NR Enid LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

3209 S Broadway
Ste 229
Edmond, OK 73013
Phone 5512958223 ext. 58223

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

620 S Madison St
Ste 203
Enid, OK 73701
Phone (580) 213-9760

915 E Owen K Garriott Rd
Ste L
Enid, OK 73701
Phone (405) 953-7221

108 W Randolph Ave
Enid, OK 73701
Phone (580) 278-6804

620 S Madison St
Enid, OK 73701
Phone (580) 213-9741

158 E Sunset Dr
Ste B
Medford, OK 73759
Phone (580) 395-2319

3705 NW 63rd St
Ste 200
Oklahoma City, OK 73116
Phone (405) 463-6700

101 W Hefner Rd
Oklahoma City, OK 73114
Phone (405) 896-8058

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19281/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1932694957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014005",
            "telephone_number": "580-402-8600",
            "fax_number": "888-498-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014005",
            "telephone_number": "580-402-8600",
            "fax_number": "888-498-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ADRIENNE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "86612",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0086612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.