Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kolten D Hernandez

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1104793652

Kolten D Hernandez is a Nurse Practitioner in Mansfield, Texas. Qualified in 2025, 1 year ago. Practices with Pulmonary Critical Care Professionals, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025

Practice location Address checks out

2800 E Broad St Ste 204
Mansfield, TX 76063-6411
Phone: (682) 900-4174
Fax: (682) 900-4175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2400 N I 35, Waxahachie, TX 75165-5240 — (469) 843-5000

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence 1218791 (TX)

Record details

NPI number1104793652
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address2800 E Broad St Ste 204, Mansfield, TX 76063-6411

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Pulmonary Critical Care Professionals — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount