ANTONIA HERNANDEZ CPNP, RN
NPI 1306215926
Nurse Practitioner - Pediatrics in Gallup, NM
NPI Status: Active since September 24, 2015
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About ANTONIA HERNANDEZ
This page provides the complete NPI Profile along with additional information for Antonia Hernandez, a provider established in Gallup, New Mexico with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1306215926 assigned on September 2015. The practitioner's primary taxonomy code is 363LP0200X with license number 59822 (NM). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1306215926
- Provider Name
- ANTONIA HERNANDEZ CPNP, RN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2111 COLLEGE DR GALLUP, NM 87301
- Location Phone
- (505) 863-1820
- Mailing Address
- 2111 COLLEGE DR GALLUP, NM 87301
- Mailing Phone
- (505) 863-1820
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-24-2015
- Last Update Date
- 06-03-2020
- Code Navigator
A nurse practitioner (NP) like Antonia 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
- 516 E Nizhoni Blvd
Gallup, NM 87301
(505) 722-1000
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 Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 59822
- License State
- NM
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WE0003X | Nursing Service Providers | Registered Nurse | R67661 (NM) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue ACA StandardHealth Silver with Health Choice - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Antonia Hernandez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 87301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.79
- Minimum New Patient Price $54.26
- Maximum New Patient Price $166.8
- Average New Patient Copayment $21.19
- Minimum New Patient Copayment $13.56
- Maximum New Patient Copayment $41.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.38
- Minimum Established Patient Price $17
- Maximum Established Patient Price $135.35
- Average Established Patient Copayment $24.09
- Minimum Established Patient Copayment $4.25
- Maximum Established Patient Copayment $33.83
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Closing the Referral Loop: Receipt of Specialist Report | 9% | 104 |
| Preventive Care and Screening: Influenza Immunization | 51% | 460 |
Reviews for ANTONIA HERNANDEZ CPNP, RN
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 0 | 6 | 2 | 1 | 5 | 9 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 0 | 6 | 4 | 1 | 10 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 0 + 6 + 4 + 1 + 1 + 0 + 9 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1306215926 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538147640 | CHRISTOPHER GONZAGA MD Individual | Internal Medicine (Infectious Disease) | 2111 COLLEGE DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP, NM 87301 (505) 863-1820 |
| 1295707651 | JUDY LIESVELD CNP Individual | Nurse Practitioner | 2111 COLLEGE DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP, NM 87301 (505) 863-1820 |
| 1942272208 | KATHLEEN MEZOFF MD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1356313647 | MARY POEL MD Individual | Pediatrics | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1497727218 | GWEN WILSON PA Individual | Physician Assistant | 2111 COLLEGE DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP, NM 87301 (505) 863-1820 |
| 1285663658 | DR. GAYLE ANN HARRISON M.D. Individual | Pediatrics | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1306818125 | TEICHA WILSON MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2111 COLLEGE DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES GALLUP, NM 87301 (505) 863-1820 |
| 1780123935 | DAISY ARSENAULT REGISTERED DIETITIAN Individual | Dietitian, Registered | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1922242965 | DR. MELINDA KATHRYN ROGERS M.D. Individual | Pediatrics | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1538635610 | SCOTT PADEN RDN Individual | Dietitian, Registered | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1487844791 | DR. NICOLAS LEE PETERS M.D. Individual | Pediatrics | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1558994301 | SARAH SHARPTON Individual | Health Educator | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-7136 |
| 1245805761 | MRS. SANAA BAKER FAMILY NURSE PRACTIT Individual | Nurse Practitioner (Family) | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1952074742 | MICHELLE DIANNE DEARMOND APRN-CNP Individual | Nurse Practitioner (Family) | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1205693579 | CHRISTOPHER CODY BALDONADO RN Individual | Case Manager/Care Coordinator | 2111 COLLEGE DR GALLUP, NM 87301 (505) 397-5797 |
| 1962269118 | MS. JAYLYN DENISE RANDLES CPSW, CHW Individual | Peer Specialist | 2111 COLLEGE DR GALLUP, NM 87301 (505) 879-5655 |
| 1891496469 | TAYLOR ANNE TEN PAS PA-C Individual | Physician Assistant | 2111 COLLEGE DR GALLUP, NM 87301 (505) 397-5172 |
| 1477077345 | CHARISSE BUCHANAN AG-NP-C Individual | Nurse Practitioner (Adult Health) | 2111 COLLEGE DR GALLUP, NM 87301 (505) 863-1820 |
| 1679389415 | TERESA MITCHELL LMHC Individual | Counselor (Mental Health) | 2111 COLLEGE DR GALLUP, NM 87301 (505) 397-5172 |
| 1164230090 | KRISTEN JOY PIKAART CHW Individual | Community Health Worker | 2111 COLLEGE DR GALLUP, NM 87301 (505) 870-8445 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306215926, enumerated in the NPI registry as an "individual" on September 24, 2015
The provider is located at 2111 College Dr Gallup, Nm 87301 and the phone number is (505) 863-1820
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.79 with an average copayment of $21.19 for new patient appointments. Established patients should expect a typical charge of $96.38 and an average copayment of 24.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 24, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.