IndividualActive
Kolten Hernandez
NPI 1104793652 · Critical Care Medicine Nurse Practitioner · Mansfield, TX
Provider details
- NPI number
- 1104793652
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1218791 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2800 E Broad St Ste 204
Mansfield, TX 76063-6411
Phone: (682) 900-4174
Fax: (682) 900-4175
Street-level locationGet directions
Mailing address
2800 E Broad St Ste 204
Mansfield, TX 76063-6411
Additional practice locations (1)
- 2400 N I 35Waxahachie, TX 75165-5240Phone: (469) 843-5000
Registry dates
- Enumerated
- 2025-10-20
- Last updated
- 2026-01-19
- Certified
- 2026-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.