Individual provider Active NPI

Maria Elisa Hernandez, MPAS, PA-C

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1962686139
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05441 Issued in TX
Practice address
1514 Zaragoza Ste B-3
El Paso, TX 79936
Phone
(915) 855-4400
Fax
(915) 855-4404
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05441 TX Primary

Addresses

Primary practice location

1514 Zaragoza Ste B-3
El Paso, TX 79936

Mailing address

616 N Virginia St Ste F
El Paso, TX 79902-5311
Phone (915) 544-3500

Other identifiers 1

IdentifierTypeStateIssuer
Y0155412OtherTXDPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080813000645 TX Practitioner - Physician Assistant 8022183854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Paso Community MHMRGroup PAC ID 3476532383, 54 clinicians

Practice addresses (Care Compare)

1600 Montana Ave
El Paso, TX 79902-5622
Phone (915) 887-3410

725 S Mesa Hills Dr BLDG 1
1 Emergence Health Network
El Paso, TX 79912-5568
Phone (915) 887-3410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA05441TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR CurrentSince Jan 5, 2017 Accepting new patients
El Paso Community MHMR CurrentSince Jan 5, 2017 Accepting new patients
Sun City Behavioral Health Care Past Accepting new patients
Amanecer Psychological Services Past Accepting new patients
Amanecer Psychological Services Past Accepting new patients

Locations

8730 Boeing Dr
El Paso, TX 79925
Phone (915) 599-6600

6044 Gateway Blvd E
Ste 405
El Paso, TX 79905
Phone (915) 593-5085

725 S Mesa Hills Dr
Bldg 1
El Paso, TX 79912
Phone (915) 228-8128

2400 Trawood Dr
Ste 301
El Paso, TX 79936
Phone (915) 599-6735

10737 Gateway Blvd W
Ste 250
El Paso, TX 79935
Phone (915) 319-9488

8500 Boeing Dr
El Paso, TX 79925
Phone (915) 242-0555

1477 Lomaland Dr
Ste E7
El Paso, TX 79935
Phone (915) 599-6690

10737 Gateway Blvd W
Ste 350
El Paso, TX 79935

1601 E Yandell Dr
El Paso, TX 79902
Phone (915) 599-4900

201 E Main Dr
Ste 600
El Paso, TX 79901
Phone (915) 887-3419

1551 Montana Ave
El Paso, TX 79902
Phone (915) 747-3510

1600 Montana Ave
El Paso, TX 79902
Phone (915) 877-3410

Organizations & group practices 6

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1962686139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N VIRGINIA ST STE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025311",
            "telephone_number": "915-544-3500",
            "fax_number": "915-544-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 ZARAGOZA STE B-3",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-855-4400",
            "fax_number": "915-855-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARIA",
        "middle_name": "ELISA",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "Y0155412",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.