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Antonia Hernandez, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in New Lenox, IL. Individual provider (NPI-1).

NPI number1154527166
StatusActive
Last updated in NPPESFeb 19, 2020

Details

NPI
1154527166
Entity type
Individual (NPI-1)
Name
Ms. Antonia Hernandez
Credential
PMHNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2007
Certification date
Feb 19, 2020
Last updated
Feb 19, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health209019331ILYes
101Y00000X Counselor––

Practice location

1004 Pawlak Pkwy
New Lenox, IL 60451-9401

Phone 815-215-3400 · Fax 815-215-3400

Mailing address

1004 Pawlak Pkwy
New Lenox, IL 60451-9401

Phone 815-215-3300 · Fax 815-215-3400

Other practice locations

671 Hoes Ln
Piscataway, NJ 08854-5627

Phone 800-969-5300

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in New Lenox, IL

All 16 Psychiatric/Mental Health Nurse Practitioner providers in New Lenox · All 1,012 providers in New Lenox

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