Individual ProviderAmy D HermesNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2451 S Fm 51, Suite 200, Decatur, TX 76234-3858(940) 627-2409PECOS EnrollmentBased on the most recent information from CMS, provider Amy D Hermes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1932286606Provider TypeIndividualFull NameHermes, Amy DCredentialBSN, RNC, WHNPGenderFemaleSole ProprietorNoEnumeration Date11/1/2006Last Updated4/18/2019Contact InformationPractice LocationPractice Address2451 S Fm 51, Suite 200, Decatur, TX 76234-3858Phone(940) 627-2409Fax(940) 626-4579Mailing LocationMailing AddressPO Box 2078, Decatur, TX 76234-6156Phone(940) 627-2409Fax(940) 626-4579Provider TaxonomiesCodeDescriptionLicenseCode363LW0102XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP115257TexasCode363LW0102XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense641302TexasProvider IdentifiersIDDescriptionIssuerID8127NTDescriptionOtherIssuerBCBSTXTexasID356518601DescriptionMedicaidIssuerUnlistedTexas