Individual provider Active NPI

Michele Hernandez, NP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1982954541
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP122114 Issued in TX
Practice address
18220 State Highway 249 Ste 400
Houston, TX 77070
Phone
(281) 737-0570
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 716502 TX
Family Nurse Practitioner 363LF0000X AP122114 TX Primary

Addresses

Primary practice location

18220 State Highway 249 Ste 400
Houston, TX 77070

Mailing address

18220 State Highway 249 Ste 400
Houston, TX 77070-4349
Phone (281) 737-0570

Other practice location 1

411 Lantern Bend
Ste 240
Houston, TX 77090-2835
Phone (281) 587-1700

Other identifiers 1

IdentifierTypeStateIssuer
337469604MedicaidTX

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
I20121016000420 TX Practitioner - Nurse Practitioner 4587814264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

9511 Huffmeister Rd
Suite 100
Houston, TX 77095-2865
Phone (346) 646-4189

Hospital & facility affiliations

  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
716502TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients
Village Family Practice, L.L.P CurrentSince Sep 1, 2020 Accepting new patients

Locations

9511 Huffmeister Rd
Ste 100
Houston, TX 77095
Phone (281) 550-4635

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

Interoperability endpoints

  • Direct secure messaging: michele.hernandez.2@13711.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1982954541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18220 STATE HIGHWAY 249 STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704349",
            "telephone_number": "281-737-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 STATE HIGHWAY 249 STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "281-737-0570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Lantern Bend",
            "address_2": "Ste 240",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770902835",
            "country_code": "US",
            "telephone_number": "281-587-1700",
            "fax_number": "281-880-6977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MICHELE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "716502",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337469604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.