KOLTEN D HERNANDEZ
NPI 1104793652
Nurse Practitioner - Critical Care Medicine in Mansfield, TX

NPI Status: Active since October 20, 2025

Contact Information

2800 E BROAD ST STE 204
MANSFIELD, TX
ZIP 76063
Phone: (682) 900-4174
Fax: (682) 900-4175

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  • Individual
  • Male
  • Nurse Practitioner
  • Critical Care Medicine

About KOLTEN HERNANDEZ

This page provides the complete NPI Profile along with additional information for Kolten Hernandez, a provider established in Mansfield, Texas with a medical specialization in Nurse Practitioner, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1104793652 assigned on October 2025. The practitioner's primary taxonomy code is 363LC0200X with license number 1218791 (TX). The provider is registered as an individual and his NPI record was last updated January 2026.

NPI
1104793652
Provider Name
KOLTEN D HERNANDEZ
Gender
Male
Entity Type
Individual
Location Address
2800 E BROAD ST STE 204 MANSFIELD, TX 76063
Location Phone
(682) 900-4174
Location Fax
(682) 900-4175
Mailing Address
2800 E BROAD ST STE 204 MANSFIELD, TX 76063
Mailing Phone
(682) 900-4174
Mailing Fax
(682) 900-4175
Is Sole Proprietor?
No
Enumeration Date
10-20-2025
Last Update Date
01-19-2026
Code Navigator

A nurse practitioner (NP) like Kolten Hernandez is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 2400 N I 35
    Waxahachie, TX 75165
    (469) 843-5000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Critical Care Medicine

Taxonomy Code
363LC0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1218791
License State
TX

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104793652, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 9 + 6 + 6 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104793652.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Internal Medicine (Interventional Cardiology)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Internal Medicine (Critical Care Medicine)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Nurse Practitioner (Acute Care)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Internal Medicine (Critical Care Medicine)
2800 E BROAD ST STE 204
MANSFIELD, TX 76063
Physician Assistant
2800 E BROAD ST STE 204
MANSFIELD, TX 76063

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104793652, enumerated as an "individual" on October 20, 2025.

The provider is located at 2800 E BROAD ST STE 204 MANSFIELD, TX 76063 and the phone number is (682) 900-4174.

Nurse Practitioner with taxonomy code 363LC0200X and a focus in Critical Care Medicine.