MS. MONICA ELISA HERNANDEZ FNP
NPI 1073743191
Nurse Practitioner - Family in Mcallen, TX
About Ms. Monica Elisa Hernandez Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MONICA ELISA HERNANDEZ FNP (NPI 1073743191) is an individual family provider in Mcallen, Texas, licensed in Texas (660280) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Monica Elisa Hernandez Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Monica Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mcallen, TX 78504
- Reassigned Medicare billing, Texas enrollment
- 28 clinicians in this Medicare group
Galveston, TX 77555
- Reassigned Medicare billing, Texas enrollment
- 2,222 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCALLEN, TX 78501
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Monica Hernandez's NPI number?
The NPI number for Monica Hernandez is 1073743191. It was assigned to this individual provider in the NPPES registry on July 23, 2009.
Where is Monica Hernandez located?
Monica Hernandez practices at 916 E Hackberry Ave, Mcallen, TX 78501. The listed phone number is (956) 739-8788.
What is Monica Hernandez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Monica Hernandez enrolled in Medicare?
Yes. Monica Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Monica Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monica Hernandez reassigns Medicare benefits to 2 organizations: Sarojini Bose MD PA (Mcallen, TX) and Utmb Faculty Group Practice (Galveston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monica Hernandez accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Monica Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Monica Hernandez was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Monica Elisa Hernandez, FNP · NPI 1073743191
Family physician in Mcallen, Texas. Individual provider, active in the CMS NPPES registry since July 23, 2009.
## Identity
- **NPI:** 1073743191 (Entity type: Individual)
- **Enumerated:** July 23, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 660280 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 916 E HACKBERRY AVE, Mcallen, TX 78501-5737
- **Phone:** (956) 739-8788
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sarojini Bose MD PA (NPI 1609066257, Mcallen, TX); Utmb Faculty Group Practice (NPI 1942241146, Galveston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** July 23, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1073743191) · Data from the CMS NPPES public registry.