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

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