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

Stephanie Hernandez

Individual provider Acute Care Nurse Practitioner · NPI 1730625963

Stephanie Hernandez is a Nurse Practitioner in Chandler, Arizona. Qualified in 2022, 4 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona and Indiana.

Years since qualifying
4
Licensed in
AZ, IN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1709 N Apache Dr
Chandler, AZ 85224-2726
Phone: (219) 916-0619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 284882 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 28185320A (IN)

Record details

NPI number1730625963
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 11, 2017
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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