ANTONIA HERNANDEZ CPNP, RN
NPI 1306215926
Nurse Practitioner - Pediatrics in Gallup, NM
About Antonia Hernandez Cpnp, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTONIA HERNANDEZ CPNP, RN (NPI 1306215926) is an individual pediatrics provider in Gallup, New Mexico, licensed in New Mexico (59822) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gallup.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Antonia Hernandez Cpnp, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Antonia Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gallup, NM 87301
- Reassigned Medicare billing, New Mexico enrollment
- 179 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 87301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Antonia Hernandez's NPI number?
The NPI number for Antonia Hernandez is 1306215926. It was assigned to this individual provider in the NPPES registry on September 24, 2015.
Where is Antonia Hernandez located?
Antonia Hernandez practices at 2111 College Dr, Gallup, NM 87301. The listed phone number is (505) 863-1820.
What is Antonia Hernandez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Antonia Hernandez enrolled in Medicare?
Yes. Antonia Hernandez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Antonia Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonia Hernandez reassigns Medicare benefits to Rehoboth Mckinley Christian Health Care Services, Inc (Gallup, NM). The 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 Antonia Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Antonia Hernandez accept?
Health plans from Blue Cross Blue Shield of Arizona list Antonia 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 Antonia Hernandez was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Antonia Hernandez, CPNP, RN · NPI 1306215926
Pediatrics physician in Gallup, New Mexico. Individual provider, active in the CMS NPPES registry since September 24, 2015.
## Identity
- **NPI:** 1306215926 (Entity type: Individual)
- **Enumerated:** September 24, 2015
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 59822 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 2111 COLLEGE DR, Gallup, NM 87301-5600
- **Phone:** (505) 863-1820
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rehoboth Mckinley Christian Health Care Services, Inc (NPI 1558829556, Gallup, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1306215926) · Data from the CMS NPPES public registry.