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ANTONIA HERNANDEZ CPNP, RN
NPI 1306215926
Nurse Practitioner - Pediatrics in Gallup, NM

Active since September 24, 2015PECOS Enrolled
2111 COLLEGE DR, GALLUP, NM 87301(505) 863-1820 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1306215926
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameANTONIA HERNANDEZCredential: CPNP, RN
Location Address2111 COLLEGE DRGallup, NM 87301-5600
Mailing Address2111 College DrGallup, NM 87301-5600 · (505) 863-1820
Phone(505) 863-1820
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
Last NPPES UpdateJune 3, 2020
NPPES CertifiedJune 3, 2020
✔ NPI 1306215926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NM · 59822
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License R67661 (NM)
2111 COLLEGE DR, Gallup, NM 87301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1516 E Nizhoni BlvdGallup, NM 87301-5748 · Phone (505) 722-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonia Hernandez Cpnp, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALEXIS P LUCERO CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
TIUS JAMES
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 979-9870
JANENE VAUGHN LCSW
Social Worker (Clinical)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
JUDY A LURANC SWEENEY OT
Occupational Therapist (Pediatrics)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
RAELYNN BENALLY
Nurse Practitioner (Family)
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172
KRISTEN JOY PIKAART CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 870-8445
CHRISTOPHER CODY BALDONADO RN
Case Manager/Care Coordinator
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5797
AHEDABAH J JUNE CHW
Community Health Worker
2111 COLLEGE DR
GALLUP, NM 87301
McKinley County (505) 397-5172

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.

What insurance does Antonia Hernandez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and 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.