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BRUSLY ELIO HERNANDEZ
NPI 1750207395
Nurse Practitioner - Family in Spring, TX

Active since June 27, 2026PECOS Enrolled
4914 CREEKSIDE HAVEN TRL, SPRING, TX 77389(281) 866-1607 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brusly Elio Hernandez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUSLY ELIO HERNANDEZ (NPI 1750207395) is an individual family provider in Spring, Texas, licensed in Texas (12401202) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS, maintains a secondary practice location in Conroe, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750207395
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRUSLY ELIO HERNANDEZ
Location Address4914 CREEKSIDE HAVEN TRLSpring, TX 77389-1849
Mailing Address4914 Creekside Haven TrlSpring, TX 77389-1849
Phone(281) 866-1607
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 27, 2026
NPPES CertifiedJune 27, 2026
✔ NPI 1750207395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 12401202
4914 CREEKSIDE HAVEN TRL, Spring, TX 77389
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Secondary Practice Location 1

Location 12245 N Loop 336 WConroe, TX 77304-3636 · Phone (936) 441-1530

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brusly Elio Hernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820558117
PECOS Enrollment IDI20260906000013
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.

Medicare Billing Reassignment

Medicare enrollment records show Brusly Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monogram Health Professional Services Of Texas PLLC
648 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Texas enrollment
  • 91 clinicians in this Medicare group
NPI 1396481255 (615) 465-8684

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 77389 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Brusly Hernandez's NPI number?

The NPI number for Brusly Hernandez is 1750207395. It was assigned to this individual provider in the NPPES registry on June 27, 2026.

Where is Brusly Hernandez located?

Brusly Hernandez practices at 4914 Creekside Haven Trl, Spring, TX 77389. The listed phone number is (281) 866-1607.

What is Brusly Hernandez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brusly Hernandez enrolled in Medicare?

Yes. Brusly Hernandez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brusly Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brusly Hernandez reassigns Medicare benefits to Monogram Health Professional Services Of Texas PLLC (Brentwood, TN). 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 Brusly Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brusly Hernandez was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.