Individual provider Active NPI

Andres M Fernandez Herrera

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1982001012
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9397978 Issued in FL
Practice address
5564 E Grant St
Orlando, FL 32822-1666
Phone
(321) 235-6230
Fax
(321) 235-6246
NPI assigned
Dec 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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 9397978 FL Primary

Addresses

Primary practice location

5564 E Grant St
Orlando, FL 32822-1666

Mailing address

5564 E Grant St
Orlando, FL 32822-1666
Phone (321) 235-6230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190723000235 FL Practitioner - Nurse Practitioner 0547596090 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9397978FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primehealth Family Practice LLC CurrentSince Mar 31, 2026 Accepting new patients
Hygeia Medical Wellness LLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

13574 Village Park Dr
Ste K205
Orlando, FL 32837
Phone (407) 967-8810

Organizations & group practices 2

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": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1982001012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 E GRANT ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221666",
            "telephone_number": "321-235-6230",
            "fax_number": "321-235-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 E GRANT ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221666",
            "telephone_number": "321-235-6230",
            "fax_number": "321-235-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ HERRERA",
        "first_name": "ANDRES",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-04",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9397978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.